ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT MÍ TRÊN TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2023 - 2024

Abstract

 Background: Upper eyelid blepharoplasty is a commonly performed procedure in both men and women, aiming to remove redundant upper eyelid skin and, when indicated, a portion of the orbicularis oculi muscle and excess orbital fat. The surgery may serve functional purposes in patients with age-related periorbital changes by restoring the visual field, or aesthetic purposes by converting a natural single eyelid into a double eyelid with a well-defined crease, or both. Although the number of upper blepharoplasty procedures is steadily increasing, the operation is not without potential complications. Therefore, surgeons should carefully consider both the patient’s expectations and the surgical approach when performing the procedure. Objectives: Evaluation of surgical outcomes in patients undergoing upper blepharoplasty at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A descriptive case series study on 32 patients who presented with and desired upper eyelid surgery at Can Tho University of Medicine and Pharmacy Hospital from May 2023 to May 2024. Results: The majority of patients seeking upper eyelid surgery were between 41 and 60 years of age. Postoperatively, two parameters showed significant changes: the upper eyelid crease height (increased from 2.68 mm to 5.31 mm) and the palpebral fissure height (increased from 10.33 mm to 10.4 mm). Other measurements remained largely unchanged. After 3 months, the rate of favorable scar appearance was 84.4% in the right eye and 87.5% in the left eye; the rates of “very satisfied” and “satisfied” outcomes were 100% for both right and left eye. Conclusion: Upper blepharoplasty improves eyelid aperture, making the eyes appear larger. The surgically created upper eyelid crease was well-defined, symmetrical, and harmonious with the facial features of Asian patients.