Upper Eyelid Blepharoplasty: An Approach for a Simplified, Safe and Effective Procedure

Abstract Background Upper blepharoplasty has significantly evolved over the past two decades from the unified routine excision of skin, muscle, and fat to a sophisticated and individualized to the patients’ needs surgical intervention. The contemporary techniques aim to correct age-related changes while preserving or even improving anatomy and function. Objectives To demonstrate the author’s personal approach for obtaining safe and reliable results in aesthetic upper eyelid surgical rejuvenation. Material and methods A retrospective chart review was conducted encompassing patients who underwent aesthetic upper blepharoplasty performed by a single surgeon in an ambulatory setting under local anesthesia between September 2020 and August 2023. A minimum follow-up of 9-month was established. Cases with concurrent periorbital or facial surgery, any previous surgical and non-surgical procedures on the eyelids and any underlying eyelid pathologies and comorbidities that could affect the eyelids were excluded from the study. Results A total of 137 consecutive patients (mean age, 51.09 years; range, 32-77 years) were found and studied. Out of them, 119 were female (n = 119; 86.86%) and 18 were male (n = 18; 13.14%). Analysis of the obtained results demonstrated significant aesthetic improvement and high satisfaction rate among the patients with no major complications in the series. Conclusions The described technique has shown to be safe and effective approach for upper eyelid surgical rejuvenation with reproducible and reliable results. It gives a natural outcome and also an improved quality of life which is of particular importance for elderly patients and those with excessive dermatochalasis.