Classification and treatment of upper eyelid laxity
10.3760/cma.j.cn114453-20201110-00565
- VernacularTitle:上睑松垂的分类和治疗策略
- Author:
Wangshu WANG
1
;
Hai GAO
;
Xiaoying CHEN
;
Ying SHAO
Author Information
1. 吉林大学第一医院整形美容外科，长春 130021
- Keywords:
Eyelids;
Cutis laxa;
Eyebrows;
Rejuvenation;
Blepharoplasty
- From:
Chinese Journal of Plastic Surgery
2021;37(9):1041-1048
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effects of different surgical methods in the treatment of upper eyelid aging, and to explore the strategies of different surgical methods in patients with different degrees of upper eyelid relaxation and different eyebrow positions.Methods:From January 2014 to September 2020, 688 patients were selected, and different surgical procedures were performed according to their eyebrow shape and the degree of upper eyelid laxity, such as blepharoplasty skin excision, subeyebrow-incision skin excision, supraeyebrow-incision skin excision or combined procedure. The patients were followed up for 6 to 12 months and observed on the effect of the operation and evaluated on the satisfaction over the surgery.Results:In a total of 688 patients, 396 patients presented mild and moderate blepharoptosis, 292 patients presented severe and extra severe blepharoptosis without eyebrow ptosis. There were 145 cases of double eyelid peeling, 157 cases of upper blepharoptosis correction with subeyebrow incision, 94 cases with upper blepharoptosis with superior eyebrow incision, and 292 cases with combined operation. In the postoperative follow-up, the upper eyelid skin ptosis was improved in 436 cases, satisfactory in 225 cases and dissatisfied in 27 cases, the satisfaction rate was 96.1%(661/688). The postoperative satisfaction of combined operation rendered 98.6%(288/292), higher than that of single operation 94.2%(373/396).Conclusions:Different surgical methods should be applied according to the different degree of upper eyelid skin ptosis and the change of eyebrow position. Patients with severe upper eyelid skin ptosis and eyebrow position change usually need combined operation to achieve satisfactory results.
