Aesthetic blepharoplasty is one of the most delicate and technically complex cosmetic interventions on the face. In this case, for each patient, a different approach is usually developed. The expression of the eyes is directly dependent on the state of the eyelids and periorbital tissues [2,3,6,10]. The eyelids, as a functional component of the face, play an essential aesthetic role. It is known that the upper eyelid is more mobile than the lower and covers 3/4 of the surface of the eyeball [20]. It has a well-defined horizontal groove, which is formed due to the interlacing of the fibers of the muscle that lifts the upper eyelid [21]. The anterior surface of the eyelid has the structure of the skin [16]. At the same time, it was found that this is the thinnest part of the skin of the human body with fewer layers of the epidermis and reduced keratinization of epithelial cells [12-15]. Due to the presence of a thin layer of subcutaneous tissue, the eyelids are extremely mobile. It should be noted that this sulcus is not visualized in Asians due to the peculiarities of muscle attachment and redistribution of subcutaneous adipose tissue [1,4,5,8]. In this area, the skin first of all undergoes age-related changes, loses its elasticity and sags [18,19]. Eyelid deformities can cause severe functional disorders, and also represent a clear aesthetic defect [17]. In order to achieve the desired result from blepharoplasty, it is necessary to determine what types of tissues and in what volume should be removed [7,9,11].

Delicate and technically, upper eyelid, hypertrophy

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