Upper Blepharoplasty in Dermatochalasis: A Retrospective Study of Our Cases

Background: Upper blepharoplasty is a surgical procedure designed to correct excess sagging skin of the upper eyelid (acquired dermatochalasis), which commonly occurs due to aging, with an incidence of approximately 65% in individuals over 60 years old. However, it can also manifest earlier in younger patients with a genetic predisposition or among Asian populations. Beyond its esthetic benefits, upper blepharoplasty has functional implications, particularly in cases of moderate to severe dermatochalasis, where excess skin can obstruct the visual field. Objective: This study aims to evaluate cases of surgical blepharoplasty performed in our clinic over the past 13 years, assessing both esthetic and functional outcomes. Additionally, we compare our findings with recent scientific literature to identify any discrepancies or confirm trends. Methods: We retrospectively analyzed patients who underwent upper blepharoplasty in our clinic between 2010 and 2023. Postoperative follow-ups were conducted at various intervals to assess esthetic improvements, functional outcomes, and potential complications. Specific evaluations included the impact of surgery on visual acuity, corneal morphology, and ocular dryness. Our results were compared with recent studies in the literature to determine consistency or significant deviations. Results: Our findings indicate that upper blepharoplasty leads to significant esthetic enhancement and functional improvement in patients with dermatochalasis. In cases where excess skin obstructed vision, surgery contributed to a measurable improvement in the visual field. Postoperative complications were minimal and comparable to those reported in the literature. Additionally, we observed potential correlations between blepharoplasty and changes in corneal morphology and ocular surface conditions. Conclusions: Surgical upper blepharoplasty is an effective procedure for both esthetic and functional improvement, particularly in cases of dermatochalasis causing visual obstruction. Our data align with existing literature, confirming the benefits and safety of this intervention. Further research is warranted to explore its impact on corneal morphology and ocular surface health.