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New research · Ophthalmology
Aesthetic plastic surgery · 2d
Cohort studyAesthetic plastic surgery · 2026

Grading and Management of Puffy Eyelids.

Jingyi Huang, Gaofeng Li
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OphthalmologyCohort study

Grading-based surgical approach for puffy eyelids gave very high patient satisfaction.

Grading and Management of Puffy Eyelids.

Jingyi Huang, Gaofeng Li
Aesthetic plastic surgery · 2026
Purpose

To explore a reasonable grading system for puffy eyelids and corresponding clinical management strategies.

Methods

We retrospectively analyzed 132 patients with puffy eyelids who underwent double-eyelid blepharoplasty at the Department of Plastic and Laser Cosmetology of Hunan Provincial People's Hospital from January 2023 to June 2024.

n = 132 patients
Results
99.24%
in follow-up, nearly all patients said they were satisfied with results
n = 132 patients
More results

Of the 132 patients, 68 cases were mild, with 55 treated by the incision method and 13 by the three-point method; 34 cases were moderate, with 29 treated by the incision method and 5 by the three-point method; and all 30 severe cases were treated by the incision method.

More results

There were no serious complications such as hematomas or infections, and all scars healed well.

“
Conclusion · 1 of 3

Establishing a clear grading system for puffy eyelids based on preoperative appearance and intraoperative anatomical characteristics, and formulating corresponding surgical plans according to these grades, is a reasonable and feasible clinical strategy.

Conclusion · 2 of 3

LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article.

Conclusion · 3 of 3

For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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