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Blepharoplasty – postoperative changes in subjective symptoms in patients


Authors: L. Zikmund
Authors‘ workplace: Pedagogická fakulta UJEP, Ústí nad Labem ;  Děkan: doc. PaedDr. Pavel Doulík, Ph. D. ;  Primářka: MUDr. Ivana Liehneová, Ph. D. ;  Masarykova nemocnice, Oční klinika ;  Krajská zdravotní a. s., Ústí nad Labem ;  Vedoucí lékař: MUDr. Lukáš Zikmund ;  Klinika MEDILAX, Ústí nad Labem
Published in: Prakt. Lék. 2016; 96(3): 141-148
Category: Of different specialties

Overview

Objective:
The author focuses on the analysis of the surgical technique blepharoplasty of upper and lower eyelids. Based and draws from his own experience, when he was allowed in the period 2005–2015 at an eye clinic and MEDILAX clinic personally perform 2904 blepharoplasties of the upper eyelids, and 1452 lower eyelid blepharoplasties in a total of 3257 patients.

Methods:
This is a retrospective set of 3257 patients, who underwent in 2005–2015 upper blepharoplasty surgery (2904) or lower eyelids (1452). The surgery was performed in all patients under local anesthesia. Postoperative monitoring is planned for 3 weeks, 6 weeks and 3 months after surgery. The total number of patients outnumber men at a ratio of 85% to 15%. In the last 5 years from (2010 to 2015, set of 1817 patients) preoperative subjective complaints of patients were recorded in preoperative preparation. Specifically, it was a feeling of heavy, tired eyelids, increased lacrimation and recurrent swelling of the eyelids. The intention of monitoring is a subjective assessment of the improvements of observed parameters in patients after 3 weeks, 6 weeks and 3 months after surgery.

Results:
The results obtained after evaluating patient response we confirm the positive effect not only on the aesthetic plane of surgery, but the surgery will significantly and positively influences the function of the eyelids and subjective feelings operated. All patients improved monitored parameters. The greatest benefit at 3 months after surgery were at the upper eyelid at 96.3% relief from the weary eyelids, tearing relief in 41.4%, with the lower lids of 94.2% disappearance of recurrent swelling of the eyelids.

Conclusion:
The analysis confirms the positive impact of blepharoplasty on subjective complaints of the patient on an objective aesthetic and functional parameters. In the interest of the patient and in the interest of our operations is a positive result and mutual satisfaction while minimizing risk. If the patient has unrealistic ideas, and yet calls for performance that is not medically feasible, it is advisable that the patient is refused.

Keywords:
blepharoplasty – surgery of the upper eyelids – lower eyelid surgery – fat prolapses


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