Dermatochalasis: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Dermatochalasis
| image          = [[File:Dermatochalasis.jpg]]
| caption        = Dermatochalasis affecting the upper eyelids
| synonyms        = Blepharochalasis
| pronunciation  =
| specialty      = [[Ophthalmology]], [[Dermatology]]
| symptoms        = Excess skin on the upper or lower eyelids, droopy eyelids
| complications  = Impaired vision, cosmetic concerns
| onset          = Typically in older adults
| duration        = Chronic
| causes          = Aging, genetic factors
| risks          = Age, family history
| diagnosis      = Clinical examination
| differential    = [[Ptosis (eyelid)]], [[Blepharitis]], [[Allergic conjunctivitis]]
| prevention      = None
| treatment      = [[Blepharoplasty]]
| medication      = None
| prognosis      = Good with treatment
| frequency      = Common in older adults
}}
{{Short description|A condition characterized by excess skin in the upper or lower eyelids}}
{{Short description|A condition characterized by excess skin in the upper or lower eyelids}}
== Dermatochalasis ==
[[File:Dermatochalasis.jpg|thumb|right|Dermatochalasis affecting the upper eyelids]]
'''Dermatochalasis''' is a medical condition characterized by an excess of skin in the upper or lower eyelids. This condition is often associated with aging, but it can also be present in younger individuals due to genetic factors or other underlying conditions.
'''Dermatochalasis''' is a medical condition characterized by an excess of skin in the upper or lower eyelids. This condition is often associated with aging, but it can also be present in younger individuals due to genetic factors or other underlying conditions.
== Clinical Presentation ==
== Clinical Presentation ==
Patients with dermatochalasis typically present with complaints of droopy eyelids, which can lead to visual field obstruction, especially in the upper visual field. The excess skin may also cause cosmetic concerns, as it can give the appearance of tiredness or aging.
Patients with dermatochalasis typically present with complaints of droopy eyelids, which can lead to visual field obstruction, especially in the upper visual field. The excess skin may also cause cosmetic concerns, as it can give the appearance of tiredness or aging.
== Pathophysiology ==
== Pathophysiology ==
Dermatochalasis occurs due to a loss of elasticity in the skin and weakening of the connective tissues around the eyes. This can be exacerbated by factors such as sun exposure, smoking, and genetic predisposition. The condition is often bilateral, affecting both eyes.
Dermatochalasis occurs due to a loss of elasticity in the skin and weakening of the connective tissues around the eyes. This can be exacerbated by factors such as sun exposure, smoking, and genetic predisposition. The condition is often bilateral, affecting both eyes.
== Diagnosis ==
== Diagnosis ==
The diagnosis of dermatochalasis is primarily clinical, based on the physical examination of the eyelids. An ophthalmologist or dermatologist may assess the degree of skin excess and its impact on the patient's vision. Visual field testing may be performed to determine the extent of visual impairment.
The diagnosis of dermatochalasis is primarily clinical, based on the physical examination of the eyelids. An ophthalmologist or dermatologist may assess the degree of skin excess and its impact on the patient's vision. Visual field testing may be performed to determine the extent of visual impairment.
== Treatment ==
== Treatment ==
The primary treatment for dermatochalasis is surgical intervention, known as [[blepharoplasty]]. This procedure involves the removal of excess skin, and sometimes fat, from the eyelids. Blepharoplasty can improve both the functional and cosmetic aspects of dermatochalasis.
The primary treatment for dermatochalasis is surgical intervention, known as [[blepharoplasty]]. This procedure involves the removal of excess skin, and sometimes fat, from the eyelids. Blepharoplasty can improve both the functional and cosmetic aspects of dermatochalasis.
== Complications ==
== Complications ==
If left untreated, dermatochalasis can lead to chronic irritation, difficulty in wearing glasses, and in severe cases, significant visual impairment. Post-surgical complications can include infection, scarring, and asymmetry.
If left untreated, dermatochalasis can lead to chronic irritation, difficulty in wearing glasses, and in severe cases, significant visual impairment. Post-surgical complications can include infection, scarring, and asymmetry.
== Related Conditions ==
== Related Conditions ==
Dermatochalasis should be differentiated from [[ptosis]], which is the drooping of the eyelid margin itself due to muscle weakness or nerve damage. Both conditions can coexist, and their management may require a combined surgical approach.
Dermatochalasis should be differentiated from [[ptosis]], which is the drooping of the eyelid margin itself due to muscle weakness or nerve damage. Both conditions can coexist, and their management may require a combined surgical approach.
 
== See also ==
== Related pages ==
* [[Blepharoplasty]]
* [[Blepharoplasty]]
* [[Ptosis (eyelid)]]
* [[Ptosis (eyelid)]]
* [[Aging]]
* [[Aging]]
* [[Eyelid]]
* [[Eyelid]]
[[Category:Ophthalmology]]
[[Category:Ophthalmology]]
[[Category:Dermatology]]
[[Category:Dermatology]]

Latest revision as of 18:12, 5 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Dermatochalasis
Synonyms Blepharochalasis
Pronounce N/A
Specialty Ophthalmology, Dermatology
Symptoms Excess skin on the upper or lower eyelids, droopy eyelids
Complications Impaired vision, cosmetic concerns
Onset Typically in older adults
Duration Chronic
Types N/A
Causes Aging, genetic factors
Risks Age, family history
Diagnosis Clinical examination
Differential diagnosis Ptosis (eyelid), Blepharitis, Allergic conjunctivitis
Prevention None
Treatment Blepharoplasty
Medication None
Prognosis Good with treatment
Frequency Common in older adults
Deaths N/A


A condition characterized by excess skin in the upper or lower eyelids


Dermatochalasis is a medical condition characterized by an excess of skin in the upper or lower eyelids. This condition is often associated with aging, but it can also be present in younger individuals due to genetic factors or other underlying conditions.

Clinical Presentation[edit]

Patients with dermatochalasis typically present with complaints of droopy eyelids, which can lead to visual field obstruction, especially in the upper visual field. The excess skin may also cause cosmetic concerns, as it can give the appearance of tiredness or aging.

Pathophysiology[edit]

Dermatochalasis occurs due to a loss of elasticity in the skin and weakening of the connective tissues around the eyes. This can be exacerbated by factors such as sun exposure, smoking, and genetic predisposition. The condition is often bilateral, affecting both eyes.

Diagnosis[edit]

The diagnosis of dermatochalasis is primarily clinical, based on the physical examination of the eyelids. An ophthalmologist or dermatologist may assess the degree of skin excess and its impact on the patient's vision. Visual field testing may be performed to determine the extent of visual impairment.

Treatment[edit]

The primary treatment for dermatochalasis is surgical intervention, known as blepharoplasty. This procedure involves the removal of excess skin, and sometimes fat, from the eyelids. Blepharoplasty can improve both the functional and cosmetic aspects of dermatochalasis.

Complications[edit]

If left untreated, dermatochalasis can lead to chronic irritation, difficulty in wearing glasses, and in severe cases, significant visual impairment. Post-surgical complications can include infection, scarring, and asymmetry.

Related Conditions[edit]

Dermatochalasis should be differentiated from ptosis, which is the drooping of the eyelid margin itself due to muscle weakness or nerve damage. Both conditions can coexist, and their management may require a combined surgical approach.

See also[edit]