Evaluation of Surgical Outcomes, Patient Satisfaction and Potential Complications after Blepharoplasty

Abstract

Objectives:This study is an evaluation of the surgical outcomes, patient satisfaction, and potential complications following blepharoplasty surgery. Methods: A total of 128 patients who underwent blepharoplasty surgery between 2015 and 2017 were included in this study. A postoperative lid crease difference of at least 1 mm was considered asymmetrical. Pre-and postoperative tear break-up time (TBUT) was evaluated. All of the patients were asked to complete a satisfaction assessment form prepared by the authors. The scar tissue that developed along the incision line was evaluated and graded by a single observer. Results: The mean age of the patients was 62.70±9.73 years, and all of the patients were monitored for a period of least 6 months. In combination with blepharoplasty, 17 patients underwent eyebrow surgery, 6 underwent lower eyelid surgery, and 4 underwent levator surgery. Lid crease asymmetry of 1 mm was determined in 8 patients, and a 2-mm asymmetry was identified in 2 patients, although the pre-and postoperative TBUT was not significantly different (p≥0.05). A total of 107 (83.59%) patients reported a very high level of satisfaction at the postoperative sixth month, 15 (11.71%) patients reported a high level of satisfactıon, and 6 (4.68%) reported a moderate level of satisfaction. In the postoperative sixth month, 87 (67.97%) patients had no scar tissue at the incision line, while 36 (28.13%) patients had noticeable scar tissue upon close inspection, and 5 (3.91%) patients had apparent scar tissue. None of the patients developed serious complications, such as severe hematoma, lagophthalmos, or wound separation. Conclusion: In the present study, the patients generally expressed long-term satisfaction with the results of blepharoplasty surgery for dermatochalasis. A comprehensive preoperative assessment, and combining surgeries when necessary and appropriate, ensures a high rate of success in blepharoplasty procedures.

Upper Eyelid Blepharoplasty Results and Evaluation of Patient Satisfaction

“…Recovery time was considered the time for patients to return to their daily social lives. Scar tissue was classified (Akkaya, S., 2018). The classification was as follows: (1); no scar in incision line, (2); incision line evident upon careful inspection, (3); easily visible scar, (4); evident hypertrophic scar.…”

“…In the post-surgery 2nd month, GBI questionnaire was administered to all patients and the total score, general subscale score, social support score and physical health score were calculated for each patient. In addition to Glasgow Benefit Inventory, a short questionnaire was administered to patients in the postoperative 2nd month and they were asked to evaluate their levels of satisfaction with the surgery subjectively (Akkaya, S., 2018). The responses were recorded as "0: Not satisfied, 1: Moderately satisfied, 2: Satisfied, 3: Very satisfied".…”

Personalized video consent in Blepharoplasty: A new paradigm in the preoperative consent giving process

“…Therefore, it is essential to understand patient's expectations before the Blepharoplasty procedure, follow-up needed, time needed for complete healing and major/ minor complications. 12 On literature review, a limited number of experiments were found suggesting the efficacy of the video consent technique in the global population. Also, there was paucity of data showing usage of a video informed consent tool in Blepharoplasty Surgery.…”

“…Also, there was paucity of data showing usage of a video informed consent tool in Blepharoplasty Surgery. 12,13 Also, apart from blepharoplasty, in other 'quality of life' improving cosmetic procedures including but not limited to rhinoplasty, chin/cheek augmentation, face lift surgeries, jaw reshaping surgeries, botox, fillers, threads and laser procedures, video consenting tool can be used to a maximum benefit. As these surgeries are done with the expectation of more esthetic results rather than to bring the quality of life back to normal, the given tool could be utilized to keep the expectations realistic.…”

“…Though, the overall rating for dissatisfaction of Blepharoplasty surgery is related to asymmetry. Therefore, it is essential to understand patient's expectations before the Blepharoplasty procedure, follow‐up needed, time needed for complete healing and major/ minor complications 12 . On literature review, a limited number of experiments were found suggesting the efficacy of the video consent technique in the global population.…”