One of the most popular plastic surgical interventions both abroad and in Kazakhstan is blepharoplasty. Plastic surgeons continue to debate various methods for performing this operation; however, some of the methods used by plastic surgeons for preoperative marking of the upper eyelid skin may not be suited to the type of incision that should be used on the eyelids of individuals from Kazakhstan. For this reason, the surgery may not achieve the desired results. We conducted a study of patients from Kazakhstan who underwent upper blepharoplasty using a simplified technique for eyelid marking that we developed at our plastic surgery center. We used the Patient-Reported Outcome Measure Questionnaire (PROM-Q) to measure patient satisfaction and the Patient and Observer Scar Assessment Scale (POSAS) to measure scar quality. The results of our study showed that the majority of patients who underwent upper blepharoplasty performed by surgeons using our method of preoperative marking were extremely satisfied with the effect. The patients noted rapid tissue repair and minimal scarring. We concluded that the use of a simplified marking technique can significantly help aesthetic surgeons performing upper blepharoplasty by reducing the risk for negative postoperative effects.

Nasal defects are a common human pathology and are formed as a result of trauma, removal of neoplasms or congenital pathology. Elimination of a nose defect is a complex problem of reconstructive surgery. Historically, information about the restoration of the nose dates back to 3000 years BC. In the post-war years the F.M. Khitrov method (1) was widely used in the USSR, which has not lost its relevance at the present time. The advantage of the method is the possibility of harvesting a sufficient volume of tissues for both side, the outer cover and the inner lining and the creating conditions for forming the nose frame. The disadvantage of the method is multi-stage, the risk of violation of the trophic flap at the stages of treatment, inconsistency of texture and color to local tissues. The aim of the work is to improve methods for eliminating total nasal defects. On the example of one clinical case, a method for restoring the main anatomical structures of the nose is described. The use of autologous cartilage and a paramedian forehead flap is the optimal solution for the elimination of total nasal defects.