EVALUATION OF THE EFFECTIVENESS OF UPPER EYELID REJUVENATION SURGERY IN VIETNAMESE WOMEN OVER 50 YEARS OF AGE

Thanh Tú Lương 1,2,, Tuấn Anh Hoàng 3, Diệp Lĩnh Lê 4
1 E Hospital
2 Hanoi Medical University
3 Hanoi Medical University Hospital
4 108 Military Central Hospital

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Abstract

Objective: To evaluate the effectiveness of upper eyelid rejuvenation surgery in Vietnamese women over 50 years of age. Methods: A prospective, non-controlled interventional study was conducted on 57 patients with upper eyelid dermatochalasis treated using two surgical techniques: eyelid crease incision and sub-brow incision. Scar quality was assessed using the Manchester Scar Scale at 3 and 6 months postoperatively. Early complications were recorded within the first 7 days. Patient satisfaction and symptom improvement were evaluated at 3 and 6 months. Results: Most patients presented with moderate to severe dermatochalasis, with prominent symptoms including eyelid heaviness (87.5%) and ocular fatigue (57.89%). At 6 months, both techniques achieved 100% flat and inconspicuous scars, with the eyelid crease group reaching 100% color match with surrounding skin. Edema was the most common early complication (38.6%), while hematoma was rare (1.75%). The rate of symptom improvement ranged from 86.79% to 98.11%. Conclusion: Both surgical techniques are safe and effective, providing significant aesthetic and functional improvement after 6 months of follow-up.

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References

1. Hollander MH, Contini M, Pott JW, Vissink A, Schepers RH, Jansma J. Functional outcomes of upper eyelid blepharoplasty: a systematic review. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2019;72(2):294-309.
2. Hollander MHJ, van der Hoeven JH, Verdonschot KHM, Delli K, Vissink A, Jansma J, et al. Effects of Upper Blepharoplasty Techniques on Headaches, Eyebrow Position, and Electromyographic Outcomes: A Randomized Controlled Trial. Int J Environ Res Public Health. 2023;20(2).
3. Dertsiz Kozan B. A New Classification of Dermatochalasis, the Effect of This Classification and Blepharoplasty Surgery on the Visual Field. Eurasian J Med. 2025;57(3):1-5.
4. Avisar I, Norris JH, Selva D, Malhotra R. Upper-eyelid wick syndrome: association of upper-eyelid dermatochalasis and tearing. Arch Ophthalmol. 2012;130(8):1007-12.
5. Rodrigues C, Carvalho F, Marques M. Upper Eyelid Blepharoplasty: Surgical Techniques and Results-Systematic Review and Meta-analysis. Aesthetic Plast Surg. 2023;47(5):1870-83.
6. Le Diep Linh, Le Thi Thu Hai. Assessment of outcomes of upper blepharoplasty in middle-aged women. Journal of 108 - Clinical Medicine and Pharmacy. 2023;18(ta).
7. Aydemir E, Kiziltoprak H, Aydemir GA. Comparison of Clinical Outcomes of Upper Eyelid Blepharoplasty Using Two Different Suture Techniques. Beyoglu Eye J. 2022;7(1):18-24.
8. Vasović DD, Karamarković ML, Jovanović M, Stojičić M, Rašić DM, Marjanović I, et al. Comprehensive evaluation of quality of life following upper eyelid blepharoplasty: a prospective analysis. Medicina. 2024;60(3):500.