Classification and surgical management of upper-lid dermatochalasis in middle-aged and elderly women

VernacularTitle:不同术式治疗中老年女性上睑区松弛的临床效果
Author: Wenyuan WU ; Yusu KONG ; Jiaxiang LU ; Xiang YU
Keywords: Upper lid blepharoplasty; Middle aged and elderly women; Dermatochalasis; Brow ptosis
From: Chinese Journal of Medical Aesthetics and Cosmetology 2017;23(1):39-42
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical classification of upper lid dermatochalasis in mid dle-aged and elderly women for choosing appropriate surgical methods and evaluating the efficacy of the treatment.Methods A lot of 98 cases of middle-aged and elderly women above 40,who underwent surgical treatment between January 2005 and September 2015,were retrospectively analyzed.The dermatochalasis was classified according to the relaxation of upper lid soft tissue,eyebrow ptosis and the effect of eye function.Therefore,four surgical treatments were designed for patients-upper eyelid incision,infraeyebrow incision,eyebrow lifting and upper eyelid incision plus eyebrow lifting.Results Of the 133 treated cases,the post-operative cosmetic result was assessed as very satisfactory in 107 (80.4％) cases;as satisfactory in 19 (14.3％) cases,and as dissatisfactory in 7 (5.3％) cases.Conclusions The key to satisfactory treatment of upper lid blepharoplasty for middle aged and elderly women lies in designing personalized treatments and choosing appropriate surgical methods according to the classification of upper lid relaxation.