BLEPHAROPLASTY FOR PERIORBITAL REJUVENATION: CLINICAL EFFECTIVENESS, AESTHETIC OUTCOMES AND SURGICAL SAFETY
DOI:
https://doi.org/10.51891/rease.v12i11.32188Keywords:
Blepharoplasty, Facial rejuvenation, Cosmetic surgical procedures, Patient satisfaction, Postoperative complicationsAbstract
Blepharoplasty is performed to correct dermatochalasis, orbital fat protrusion, and changes in periorbital contour for aesthetic and, in selected patients, functional purposes. This integrative review examined clinical effectiveness, patient satisfaction, aesthetic outcomes, and surgical safety after upper and lower blepharoplasty. Twenty-one individually identified publications were synthesized, including systematic reviews, clinical trials, cohort studies, and complementary clinical sources. Original records supporting numerical counts for literature identification and screening were not available for verification. Evidence indicates high patient satisfaction following upper blepharoplasty and functional improvement in patients with documented visual obstruction. Additional orbicularis muscle removal has not shown consistent aesthetic superiority and has been associated with more lagophthalmos than muscle-sparing procedures. For lower blepharoplasty, transconjunctival and transcutaneous approaches should be selected according to anatomy and indication, without established universal superiority. Preventing eyelid malposition, ocular surface symptoms, and hemorrhagic complications requires individualized preoperative evaluation. Safe periorbital rejuvenation integrates appropriate indications, preservation of eyelid function, and patient-reported outcomes.
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Atribuição CC BY