Stepwise surgery with variable adjustments for severe blepharochalasis with multiple chemical sensitivity: a case report

Abstract

We report a 29-year-old man with blepharochalasis and multiple chemical sensitivity (MCS). Although standard blepharoplasty with aponeurotic fixation was performed, palpebral ptosis recurred after 3 months. Eyelid function and appearance improved after additional operations. A stepwise surgical approach is appropriate in patients with blepharochalasis and MCS.

Blepharochalasis at early age: A case report

“…In mild outbreaks or quiescent periods, treatment should be conservative. Even if the patient presents ptosis or dermatochalasis secondary to the illness, in most of the reported cases, surgery is not considered a b until 6 to 12 months after the last outbreak [1,4,6,7]. Zhou J et al [3] conducted a retrospective study with 93 cases, analysing the risk of surgical reintervention according to the quiescent period length before undergoing surgery.…”

“…Once ptosis and dermatochalasis appear the only effective treatment is surgery. A quiescent period of 6 months to 2 years is recommended before any intervention is performed [1,4,6,7].…”