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Rejuvenating the aging upper periorbita.

Yasemin Aslan Katircioglu¹, Tuba Celik², Dudu Deniz Acar¹

¹Department of Ophthalmology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.

International Ophthalmology

|May 15, 2023

Summary

This summary is machine-generated.

This study shows that combining upper eyelid blepharoplasty with browpexy effectively rejuvenates the aging upper periorbita. While other surgical combinations were studied, this approach yielded statistically significant improvements in patients with dermatochalasis and eyebrow ptosis.

Keywords:

Blepharoplasty Blepharoptosis Browpexy Rejuvenating Upper periorbita

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Area of Science:

Oculoplastics
Facial Plastic Surgery
Ophthalmic Plastic Surgery

Background:

Aging of the upper periorbita is a common concern, leading to aesthetic and functional issues.
Dermatochalasis, eyebrow ptosis, and blepharoptosis are age-related conditions affecting the upper eyelids.
Comprehensive surgical approaches aim to address multiple components of periorbital aging simultaneously.

Purpose of the Study:

To evaluate the effectiveness of a combined surgical strategy for rejuvenating the aging upper periorbita.
To assess outcomes in patients with varying degrees of dermatochalasis, eyebrow ptosis, and blepharoptosis.

Main Methods:

A retrospective study included 160 patients (320 eyes) undergoing surgical correction for upper periorbital aging.
Patients were assessed preoperatively and at 1 week, 1 month, and 6 months postoperatively.
Standardized scoring systems were used to quantify dermatochalasis and eyebrow ptosis severity.

Main Results:

The combination of upper eyelid blepharoplasty and browpexy (UEB+B) demonstrated statistically significant improvements (p < 0.001).
Other surgical combinations, including upper eyelid blepharoplasty with levator resection (UEB+LR), did not show statistically significant postoperative improvements compared to preoperative scores.
All age groups experienced statistically significant postsurgical score improvements (p < 0.001).

Conclusions:

A comprehensive surgical approach, particularly UEB+B, is effective for upper periorbital rejuvenation.
This treatment strategy addresses multiple signs of aging in the upper periorbita, including skin laxity and eyebrow drooping.
The findings support the use of tailored surgical combinations for optimal patient outcomes in periorbital aging.