Upper Blepharoplasty: A Thorough Overview of Surgical Methods, Results, and Complication Management

Plastic Surgery

Abstract: Background: One of the most common facial surgery procedures carried out globally is upper blepharoplasty. Serving both aesthetic and functional purposes. Age-related periorbital changes, dermatochalasis, fat prolapse, and levator aponeurosis attenuation contribute to visual obstruction and facial aging. Although surgical refinements have improved outcomes, Variability in the choice of techniques and the handling of complications is still a challenge. Objective: The latest research on surgical anatomy, operative methods, functional and cosmetic results, patient-reported metrics, and complication management in upper blepharoplasty is summarized in this review. Methods: A comprehensive literature review was performed using peer-reviewed publications from 2010–2026 indexed in Google scholar, PubMed, MEDLINE, and Scopus studies. Included were recent studies assessing surgical methods, results, visual field enhancement, patient satisfaction, and rates of complications. Results: Contemporary upper blepharoplasty techniques emphasize individualized tissue preservation, Fat repositioning rather than aggressive excision, and simultaneous correction of brow ptosis or eyelid ptosis when indicated. Evidence demonstrates high patient satisfaction (>85% in most series), When proper surgical planning is used, there are measurable improvements in the visual field and minimal rates of complications. Conclusion: Upper blepharoplasty is still a dependable and adaptable treatment. With long-lasting practical and aesthetic results, Success depends on anatomical precision, conservative tissue management, and thorough evaluation during surgery.

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