Volume 03 Issue 08-2023
72
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
08
P
AGES
:
72-77
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
Aesthetic blepharoplasty is one of the most delicate and technically complex cosmetic interventions on the face. In
this case, for each patient, a different approach is usually developed. The expression of the eyes is directly dependent
on the state of the eyelids and periorbital tissues [2,3,6,10]. The eyelids, as a functional component of the face, play
an essential aesthetic role. It is known that the upper eyelid is more mobile than the lower and covers 3/4 of the surface
of the eyeball [20]. It has a well-defined horizontal groove, which is formed due to the interlacing of the fibers of the
muscle that lifts the upper eyelid [21]. The anterior surface of the eyelid has the structure of the skin [16]. At the same
time, it was found that this is the thinnest part of the skin of the human div with fewer layers of the epidermis and
reduced keratinization of epithelial cells [12-15]. Due to the presence of a thin layer of subcutaneous tissue, the eyelids
are extremely mobile. It should be noted that this sulcus is not visualized in Asians due to the peculiarities of muscle
attachment and redistribution of subcutaneous adipose tissue [1,4,5,8]. In this area, the skin first of all undergoes age-
related changes, loses its elasticity and sags [18,19]. Eyelid deformities can cause severe functional disorders, and also
represent a clear aesthetic defect [17]. In order to achieve the desired result from blepharoplasty, it is necessary to
determine what types of tissues and in what volume should be removed [7,9,11].
KEYWORDS
Delicate and technically, upper eyelid, hypertrophy, blepharoplasty, hematoma; infection.
INTRODUCTION
Research Article
OUR EXPERIENCE IN UPPER EYELID PLASTY
Submission Date:
August 20, 2023,
Accepted Date:
August 25, 2023,
Published Date:
August 30, 2023
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume03Issue08-10
Shokhrukh Sh. Yusupov
Researcher Tashkent Medical Academy, Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 03 Issue 08-2023
73
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
08
P
AGES
:
72-77
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
The purpose of this work is to analyze the results of
blepharoplasty of the upper eyelids on the experience
of our department.
MATERIALS AND RESEARCH METHODS
During the period of 2015 to 2018, there were 320
patients in the Plastic Surgery Department of the 2nd
TMA Clinic who underwent upper blepharoplasty. Of
these, there were 280 (88%) women and 40 (12%) men.
The age of the patients ranged from 16 to 70 years. All
patients underwent a standard clinical and laboratory
examination and a standard preoperative preparation
plan. Preoperative preparation includes stopping the
use of drugs that affect the blood coagulation system,
as well as non-steroidal anti-inflammatory drugs.
Upper eyelid plasty was indicated for sagging skin and
bulging of fatty tissue of the upper eyelid, hypertrophy
of the orbicular muscle of the eye, which close the
natural crease of the eyelid, was noted in all of our
patients. The measurement was carried out with a
medical ruler, while the lower line was marked from
the edge of the eyelashes, the dimensions of which
ranged from 4, 5, 6, 8 mm. The size of the line
depended on the desire, age and appearance of the
patient, the structure and type of periorbital tissue.
The upper line was marked from the brow arch at a
distance of 8, 9, 10 mm. The length of the incision was
from 3.5 to 5 cm. The incision started from the inner
corner of the eye in the form of interlocking semilunar
incisions and continued to the level of the brow end in
the form of a boat. Sometimes the incision line was
completed before reaching the eyebrow edge, the
width of the mark between the lower and upper lines
was from 1 to 2 cm. internal line with the help of a
coagulator (Fig. 1), we controlled each stage and
performed a test for opening the eye and the
appearance of the patient, the next stage we
performed a resection of the circular muscle, while
excising the extreme lines of the muscles that were in
the subcutaneous part of the external line, the last
stage imposed intradermal sutures with synthetic
suture No. 5 from Prolene, aseptic dressing.
Volume 03 Issue 08-2023
74
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
08
P
AGES
:
72-77
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
Рic. 1
Research results. Overhang of the eyelid skin in the
elderly often leads to narrowing of the visual fields,
which was noted in 130 patients. With hypertrophy of
the circular muscle and swelling of fatty tissue,
removing only excess skin does not provide a sufficient
aesthetic effect. Removal of fiber and / or muscle tissue
allows you to create a smooth contour of the upper
eyelid. Sagging of the upper eyelids may be due to
excess skin, hypertrophy of the orbicular muscle of the
eye, herniated fatty tissue, or a combination of both. In
order
to
achieve
the
desired
result
from
blepharoplasty, it is necessary to determine what types
of tissues and in what volume should be removed. At
the same time, not only excess skin is removed, but
also fatty tissue and muscle tissue of the eyelids.
Excision of the skin during upper blepharoplasty is
performed in such a way that the necessary proportion
between the fold-eyebrow and the palpebral fissure is
maintained. After surgery, there is swelling of the
tissues around the eyes, passing on 8-10 days. The
sutures were removed on the fifth or seventh day after
the operation. In general, the rehabilitation period is
no more than three weeks. After this period, a
preliminary
assessment
of
the
results
of
blepharoplasty is performed. We performed photo
documentation before and after surgery (pic. 2).
Fig. 2
Volume 03 Issue 08-2023
75
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
08
P
AGES
:
72-77
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
CONCLUSIONS
Thus, a thorough and systematic preoperative
evaluation of candidates for blepharoplasty is
necessary to minimize postoperative complications.
Patient analysis aims to determine how much eyelid
skin, orbicular muscle, and orbital tissue need to be
resected to optimize aesthetic and functional
outcomes.
Possible
complications
include:
hemorrhage into the surrounding tissues with the
formation of a hematoma; infection with subsequent
suppuration of the postoperative wound; divergence
of seams; the appearance of a postoperative scar; dry
eye syndrome. Surgical intervention in the eyelid area
requires a highly qualified specialist due to the complex
anatomy of this area, while it is necessary to assess the
periorbital tissues and, based on the data, make a
rational choice of the type and access for upper eyelid
surgery.
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Oscar Publishing Services
Servi
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Volume 03 Issue 08-2023
77
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
08
P
AGES
:
72-77
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
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