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Grading and Management of Puffy Eyelids
1Department of Plastic Surgery and Cosmetic Laser Center, The First Affiliated Hospital of Hunan Normal University Hunan People's Hospital, No.61 Jiefang West Road, Changsha, 410005, Hunan Province, People's Republic of China.
Aesthetic Plastic Surgery
|July 14, 2026
Summary
A new grading system for puffy eyelids helps guide surgical plans for double-eyelid blepharoplasty. This approach led to high patient satisfaction and minimal complications in a recent study.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Puffy eyelids can affect aesthetics and eyelid function.
- Current management strategies lack a standardized grading system.
Purpose of the Study:
- To develop and validate a grading system for puffy eyelids.
- To correlate eyelid severity with surgical techniques for double-eyelid blepharoplasty.
Main Methods:
- Retrospective analysis of 132 patients undergoing double-eyelid blepharoplasty.
- Classification of patients into mild, moderate, or severe based on preoperative and intraoperative findings.
- Application of the three-point or incision method based on severity to address orbital fat and ROOF.
Main Results:
- A grading system was applied to 132 patients.
- The incision method was predominantly used for moderate to severe cases.
- High patient satisfaction (99.24%) and low complication rates were observed, with only 1 revision surgery.
Conclusions:
- A clear grading system for puffy eyelids is essential for effective surgical planning.
- Tailoring surgical approaches based on eyelid grade is a feasible and successful clinical strategy.
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