Upper Eyelid Blepharoplasty: An Aesthetic and Functional Repair

Abstract

Upper blepharoplasty is a popular cosmetic surgery technique, with a yearly demand growth of 6%. It is primarily performed on women, aged between 50 and 70, to rejuvenate the look, enhance the supratarsal crease, and rectify contour abnormalities. The procedure also has functional advantages, such as enhancing the upper field of vision and reducing ptosis. In a clinical scenario, patients with eyelid scars experienced eyelid retraction, lagophthalmos, and ulcerative keratitis. Initially, supportive care was performed, followed by surgical treatment, including scar band release, full-thickness skin graft, eyelid closure, and tarsorrhaphy. Positive results included an expanded visual field, improved quality of life, reduced headaches, and enhanced eyesight. However, further investigation is needed due to contradictory findings and lack of scientific data. We present an interesting case of a patient in whom reconstruction was performed for aesthetic-functional purposes.