Assessment of outcomes of upper blepharoplasty in middle-aged women

Objective: To do statistics on some factors which lead to morphological changes of upper eyelid and surgical methods used to improve upper eyelid status in women over 40 years old. Subject and method: A prospective, descriptive study was conducted on 155 patients who were treated surgically at 108 Military Central Hospital from June 2022 to June 2023. Result: Patients had 89% of excess skin, 52.2% of muscle prolapse, 19.4% of fat hernia and fat atrophy. Patients were divided into 5 groups based on their characteristics of upper eyelid changes and skin properties (thick or thin) to apply surgical methods. Group 1 included patients who had excess skin, thin skin and multiple eyelid folds; and received surgical removal of excess skin along the eyelid folds and eyelid fold reconstruction. Group 2 included patients who had excess skin, thin skin and 1 clear eyelid fold; and received surgical removal of excess skin along the eyebrow curve. Group 3 included patients who had excess skin, thick skin, muscle prolapse and eyelid folds; and received surgical removal of excess skin along the eyebrow curve and browplasty. Group 4 included patients who had excess skin, thick skin, muscle prolapse, no eyelid folds or uneven eyelid folds; and received surgical removal of excess skin along the eyebrow curve, browplasty and correction of eyelid folds. Group 5 included patients who had thick skin, fat hernia and not much excess skin; and received surgical removal of fat and correction of eyelid folds. Conclusion: Through study, assessment and analysis of the outcomes of upper blepharoplasty for 155 female patients who are 40 years old or older, we conclude that if we identify correctly prolapse and deformity for each case, we can choose suitable solutions which have short postoperative recovery, good reconstructive outcomes and high patient satisfaction.