A 75-year-old woman complained of
"tired and heavy eyes" and being unable
to keep her eyelids open to read
Redundant upper eyelid tissue
that weighed down the patient's eyelids
and temporal hooding were found (A).
There was also a mild involutional ptosis
of both upper eyelids.
This patient has dermatochalasis—
a bilateral condition commonly
seen in elderly persons. It results from
many years of stretching the tissue by
blinking, rubbing the eyes, and enduring
gravitational forces. The condition
also may be associated with weakness
of the orbital septum and secondary
anterior displacement of orbital fat.
This patient underwent a bilateral
upper eyelid blepharoplasty to correct
the problem. After the first postoperative
week, edema and ecchymosis were
still present (B). At the 1-month followup,
slight involutional ptosis was still
evident, but the patient no longer had
subjective complaints (C).