Blepharoplasty of the upper eyelids, in combination with epicanthoplasty

Introduction. One of the reasons for contacting a plastic surgeon is increasingly the overhang of the upper eyelid in combination with epicanthus. Due to increased migration processes, the number of upper blepharoplasty operations in combination with epicanthoplasty is steadily increasing from year to year. With the apparent simplicity of the operation, it has its own indications and contraindications, as well as rare, but still complications.The aim of the study was to evaluate the immediate and long-term results of surgery and the incidence of complications in upper blepharoplasty and epicanthoplasty.Materials and methods. The prospective study included 49 patients admitted to the clinic from 2021 to 2023. The age of the patients ranged from 25 to 34 years. All patients underwent a combined operation of upper blepharoplasty and medial epicanthoplasty.Results. In the immediate postoperative period, complications occurred in 4 (6 %) people. After 6 months, at a follow-up examination, dissatisfaction with the result was noted in 1 patient. A clinical case is presented as an illustration.Discussion. In the Russian Federation, especially in the European part, such operations are not so in demand, but their number is steadily growing. During the study, it was noted that the results of surgical treatment depend on the initial condition of the patient, both general and local.Conclusions. The increase in the number of operations of upper blepharoplasty and epicanthoplasty in the Russian Federation requires further study of the problem, development of indications and contraindications and prevention of possible complications.