[Classification and surgical management of upperlid dermatochalasis in middle-aged and elderly patients].

Objective: To investigate the classification and surgical management of upper lid dematochalasis in middle-aged and elderly patients.

Methods: 105 cases with upper lid dermatochalasis who underwent surgical treatment between May, 2000 to May, 2005 were retrospectively analyzed. The dermatochalasis was classified according to eye brow position, bulge contour and the skin amount of upper lid. The post-operative cosmetic result was also assessed.

Results: Of the 105 treated cases, the post-operative cosmetic result was assessed as very satisfactory in 77 (87%) cases, as satisfactory in 11(10%) cases, and as dissatisfactory in 3 (2%) cases.

Conclusions: Dermatochalasis in middle-aged and elderly patients has different types and should be treated with different surgical method.