Abstract

Introduction: Blepharoplasty, a surgical intervention designed to restore youthfulness to the eyelids, has achieved global recognition. Nevertheless, there is a dearth of research regarding its effectiveness within specific ethnic groups, including the Afghan population residing in Kabul. This investigation sought to evaluate the efficacy of blepharoplasty in this distinctive demographic. Materials and Methods: Experienced plastic surgeons specialize in performing all the blepharoplasty procedures. The surgical approach included removing excess skin and fat from the eyelids and making necessary adjustments to enhance both eyelid symmetry and functionality. Prior to the surgery, pre-operative evaluations were carried out to evaluate patients' concerns and expectations. Results: In the study, a total of 163 patients were examined, with 129 (79.14%) being Hazara patients and 34 (29.85%) belonging to other ethnicities. Among the participants, 93 (57.06%) were females and 41 (25.15%) were males. In the Hazara ethnic group specifically, blepharoplasty combined with an eyebrow lift yielded excellent results due to the genetic positioning of low and near eyelid eyebrows. Among the Hazara ethnic females, 90 (55.21%) who underwent blepharoplasty with eyebrow lift had excellent results, while 7 (4.29%) had good results with only blepharoplasty. Discussion: These findings emphasize the importance of considering ethnic variations and anatomical characteristics when planning and performing blepharoplasty procedures. The genetic positioning of the eyebrows in the Hazara ethnic group necessitates a comprehensive approach that addresses both the upper eyelids and the eyebrows to achieve optimal outcomes. On the other hand, for non-Hazara ethnic individuals, focusing solely on blepharoplasty may still yield satisfactory results.

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