Functional results of upper blepharoplasty

Abstract

Objective: Describe the functional results of upper blepharoplasty.

Methods: A prospective longitudinal descriptive study was conducted of 99 patients (198 eyelids) diagnosed with upper eyelid dermatochalasis, in some cases associated to eyelid and eyebrow ptosis. The study was carried out at Ramón Pando Ferrer Cuban Institute of Ophthalmology from February 2019 to January 2020.

Results: Of the total patients studied, 85.8% were female and 43.5% were aged over 62 years. Upper eyelid dermatochalasis and palpebral ptosis prevailed with 68.4%, whereas severe dermatochalasis and palpebral ptosis represented 47.5% and 50%, respectively. A predominance was found of upper eyelid dermatochalasis and eyebrow ptosis in the 56-61 age group (61%). Total correction of upper eyelid dermatochalasis was achieved in 98% of the cases intervened, eyelid ptosis correction in 86% and eyebrow ptosis correction in 88%. No complications appeared in 94% of the eyelids intervened. The most common complication was bleeding with 2.5%.

Conclusions: In most cases, management of palpebral ptosis and upper eyebrow transblepharoplasty achieves total correction of these disorders and dermatochalasis. The procedure is an important tool for facial rejuvenation.

Key words: Upper eyelid dermatochalasis; palpebral ptosis; eyebrow ptosis; upper blepharoplasty.