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A Comprehensive Approach to Upper Eyelid Rejuvenation Surgery

  • Original Article
  • Oculoplastic
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Upper eyelid aging results from comprehensive changes, and studies have failed to comprehensively address these changes.

Objectives

This study proposes a comprehensive approach to the surgical treatment of aging upper eyelids.

Methods

Data of 116 patients with aging upper eyelids were analyzed. Each eye was scored on upper eyelid laxity, degree of blepharoptosis, and upper eyelid socket depression at preoperation and 6 months after surgery. Based on average scores of both eyes, three degrees of aging were considered: mild, moderate, and severe. All patients underwent comprehensive surgical treatments. Depending on its condition, loose skin was appropriately removed, and the levator palpebrae superioris (LPS) was corrected in patients with degenerative ptosis. Meanwhile orbital septum fat was released or periumbilical fat mass was used as a filler to correct upper eyelid socket depression. All cases were summarized based on a classification and grading system. Scores were reassessed, and satisfaction survey was conducted after 6 months follow-up.

Results

The preoperative and postoperative scores of the three groups were significantly different (p < 0.05), and the difference in preoperative and postoperative scores between the three groups was also statistically significant (p < 0.05). The severe aging group had the greatest difference in score. Aside from 8 patients requiring reoperation, patients reported satisfied results after the 6 month follow-up.

Conclusions

Comprehensive surgical treatment for patients with different grades of upper eyelid aging can achieve a satisfactory effect of upper eyelid rejuvenation.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266

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Funding

No funding was received for the work presented in this article.

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Author notes

  1. Peng Xu, Huizhen Huang these authors have contributed equally to this work

Authors and Affiliations

  1. Department of Plastic Surgery, Mylike Medical Cosmetic Hospital, 789 West Yan’an Road, Shanghai, 200050, China

    Huizhen Huang, Shiruo Zhang, Xuanyu Yin, Qianqian Zhang & Yuanyuan Du

  2. Department of Plastic and Reconstructive Surgery, Shanghai 9th People’s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China

    Peng Xu

Authors
  1. Peng Xu
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  2. Huizhen Huang
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  3. Shiruo Zhang
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  4. Xuanyu Yin
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  5. Qianqian Zhang
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  6. Yuanyuan Du
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Corresponding author

Correspondence to Yuanyuan Du.

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Conflict of interest

The authors have no conflicts of interest to declare.

Ethical Approval

This study was approved by the ethics committee of our institution and conformed to the standards outlined in the Declaration of Helsinki, as amended in 2013.

Informed Consent

All patients agreed to participate and provided written informed consent prior to study entry.

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Xu, P., Huang, H., Zhang, S. et al. A Comprehensive Approach to Upper Eyelid Rejuvenation Surgery. Aesth Plast Surg 45, 1047–1055 (2021). https://doi.org/10.1007/s00266-020-02031-3

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  • DOI: https://doi.org/10.1007/s00266-020-02031-3

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