Upper eyelid blepharoplasty following hyaluronic acid injection with improved facial aesthetics and eye symptoms: a case report

Dermatochalasis of the upper eyelids (blepharochalasis) is a typical age-related change in the upper third of the face and a major concern for facial aesthetics. Nowadays both surgical and nonsurgical interventions are available for patients complaining of upper eyelid dermatochalasis. Although nons...

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Bibliographic Details
Published in:Journal of medical case reports 2021-04, Vol.15 (1), p.248-248, Article 248
Main Authors: Maione, Luca, Vinci, Valeriano, Costanzo, Domenico, Battistini, Andrea, Lisa, Andrea, Di Maria, Alessandra
Format: Article
Language:English
Subjects:
Aesthetics
Blepharoplasty
Blepharoplasty outcomes evaluation
Blepharoptosis
Care and treatment
Case Report
Case reports
Collagen
Dermatochalasis
Esthetics
Eyelids
Eyelids - surgery
Humans
Hyaluronic Acid
Hyaluronic acid filler
Medical research
Medicine, Experimental
Morphology
Ocular manifestations of general diseases
Patient satisfaction
Skin
Surgery
Surgical outcomes
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Summary:Dermatochalasis of the upper eyelids (blepharochalasis) is a typical age-related change in the upper third of the face and a major concern for facial aesthetics. Nowadays both surgical and nonsurgical interventions are available for patients complaining of upper eyelid dermatochalasis. Although nonsurgical treatments are often easier to perform, if they are not performed correctly, complications may ensue and worsen the condition. We describe the case of a Caucasian patient presenting with bilateral upper eyelid dermatochalasis, previously treated with multiple injections of hyaluronic acid filler. Following these procedures, the patient reported nonspecific eye symptoms (such as a sense of heaviness and asthenopia) and cosmetic concerns. We decided to perform an upper eyelid blepharoplasty. During the procedure we found a ribbon of hard, fibrous material, which was carefully removed. The patient reported resolution of functional eye symptoms owing to the reduction of upper lid heaviness, which also resulted in subjective improvement of the visual field. Patient satisfaction was assessed preoperatively and 3 months postoperatively using the Blepharoplasty Outcomes Evaluation (BOE), which showed an overall satisfaction rate of 95.8 %. Blepharoplasty not only treated the patient's blepharochalasis but also allowed us to correct the previous nonsurgical intervention by removing the excessive amount of injected hyaluronic acid. Both aesthetic and functional results were successfully achieved.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-020-02641-0