BLEPHAROPLASTY - OUR EXPERIENCE

Andrijana GJORGJESKA, Ermira HAMZAI, Gjorgje GJOKIQ, Elizabeta MIOVSKA

Abstract

Introduction Blepharoplasty is a surgical procedure to improve the appearance of the eyelids and may involve removing excess skin, muscle and fat. With the aging process, the eyelids stretch and the muscles that support them weaken, therefore, excess of fat may gather above and below the eyelids, causing saggy eyebrows, droopy upper lids and bags under the eyes. As a result of this, the person looks tired and older. Material and methods At the University Clinic for plastic and reconstructive surgery, we performed surgical procedures on 45 patients (34 females and 11 males), in the past three years. Upper blepharoplasty was done on 41 patients, and only 4 patients went for blepharoplasty on both, upper and lower, eyelids. The surgical procedure was conducted under local anesthesia. We removed the excess of the skin In the upper eyelids and a small part of adipose tissue in the inferior eyelids. The rest of the fat pedicle was transposed in the upper eyelid to create a fulfilled appearance. In order to lift the eye's outer corner and the middle third of the face, cantopexy was done as well. Result The results are best observed by comparing patient’s photographs of the eye region taken before and after surgical procedure. We managed to get a mid-face elevation and rejuvenation of the lower eyelid-cheek complex. Conclusion As a minimal invasive surgical procedure, blepharoplasty is one of the best procedures to achieve rejuvenation and more youthful appearance in the upper half of the face.

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