Objectives: The objective of this study was to evaluate the clinical outcome of rejuvenation surgery through double eyelid incision instead of face-lifting for the correction of different types of the upper eyelid sagging in older East Asian patients.
Materials and methods: A total of 40 patients (80 aging upper eyelids) with upper eyelid sagging were retrospectively examined. The age of the patients ranged from 53 to 85 years (mean age, 65 y). After a thorough preoperative evaluation, the corresponding operations were performed and the follow-up results were obtained.
Results: The operation of each patient with a mean follow-up period of 6 months was combined for a total of 80 rejuvenation operations. A total of 34 patients (85%) were satisfied with the postoperative appearance, 3 patients (7.5%) showed inadequate skin reduction, 1 patient (2.5%) had asymmetry between 2 blepharoplasty lines, and 2 patients (5%) showed obvious scars.
Conclusions: Through a thorough preoperative evaluation, rejuvenation surgery through blepharoplasty incision is an effective solution for mild to moderate upper eyelid sagging in older Asian patients.