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Upper eyelid aging results from comprehensive changes, and studies have failed to comprehensively address these changes. This study proposes a comprehensive approach to the surgical treatment of aging upper eyelids. Data of 116 patients with aging upper eyelids were analyzed. Each eye was scored on upper eyelid laxity, degree of blepharoptosis, and upper eyelid socket depression at preoperation and 6months after surgery. Based on average scores of both eyes, three degrees of aging were considered mild, moderate, and severe. All patient