A Comprehensive Approach to Upper Eyelid Rejuvenation Surgery

Area of Science:

• Oculoplastic surgery
• Aesthetic medicine
• Aging research

Background:

• Upper eyelid aging involves complex changes often inadequately addressed by current studies.
• Aging manifests as eyelid laxity, blepharoptosis, and upper eyelid socket depression.

Purpose of the Study:

• To propose and evaluate a comprehensive surgical strategy for aging upper eyelids.
• To assess the efficacy of this approach across different grades of eyelid aging.

Main Methods:

• Analysis of 116 patients with aging upper eyelids, categorized into mild, moderate, and severe groups.
• Surgical intervention included skin removal, levator palpebrae superioris (LPS) correction for ptosis, and fat grafting/release for socket depression.
• Preoperative and 6-month postoperative assessments of eyelid laxity, ptosis, and socket depression, along with patient satisfaction surveys.

Main Results:

• Significant improvements in all measured parameters (laxity, ptosis, socket depression) were observed post-surgery (p < 0.05).
• The most substantial score improvements were noted in the severe aging group.
• Overall patient satisfaction was high, with only 8 patients requiring reoperation.

Conclusions:

• A comprehensive surgical treatment plan effectively rejuvenates aging upper eyelids.
• This approach yields satisfactory outcomes for patients with varying degrees of upper eyelid aging.