Upper eyelid blepharoplasty: an approach for a simplified, safe and effective procedure

Abstract

Background: Upper blepharoplasty has significantly evolved over the past two decades from the unified routine excision of skin, muscle, and fat to a sophisticated and individualized to the patients’ needs surgical intervention. The contemporary techniques 
aim to correct age-related changes while preserving or even improving anatomy and function. Objectives: To demonstrate the author’s personal approach for obtaining safe and reliable results in aesthetic upper eyelid surgical rejuvenation. Material and methods: A retrospective chart review was conducted encompassing patients who underwent aesthetic upper blepharoplasty performed by a single surgeon in an ambulatory setting under local anesthesia between September 2020 and August 2023. A minimum follow-up of 9-month was established. Cases with concurrent periorbital or facial surgery, any previous surgical and non-surgical procedures on the eyelids and any underlying eyelid pathologies and comorbidities that could affect the eyelids were excluded from the study. Results: A total of 137 consecutive patients (mean age, 51.09 years; range, 32-77 years) were found 
and studied. Out of them, 119 were female (n = 119; 86.86%) and 18 were male (n = 18; 13.14%). Analysis of the obtained results demonstrated significant aesthetic improvement and high satisfaction rate among the patients with no major complications in the series. Conclusions: The described technique has shown to be safe and effective approach for upper eyelid surgical rejuvenation with reproducible and reliable results. It gives a natural outcome and also an improved quality of life which is of particular importance for elderly patients and those with excessive dermatochalasis.