Subjective: A shape created by an acute downward arching of the upper eyelid and upward arching of the lower eyelid, toward the medial canthus, which gives the outline of the palpebral fissures the configuration of an almond; thus, the maximum distance between the fissures is offset from, and medial to, the center point
Comments:The almond configuration tends to dissipate with time as the surrounding tissues (e.g., eyelid, nasal bridge) grow.