Evaluation of upper blepharoplasty outcome-objective measurements and patients` satisfaction

Abstract

Background/Aim. Upper blepharoplasty is one of the most often performed aesthetic operations and is indicated for periorbital rejuvenation or for correction of some functional problems. Goal of this study was to evaluate outcome of this procedure and to assess patients' satisfaction and possibilities of objective measurement of results. Methods. A two year prospective, observational study was conducted among 50 patients who had upper blepharoplasty done by same surgeon. Data were collected from medical documentation, questionnaire and objective measurements conducted via standardized digital photographs that were taken before and two months after surgery by same surgeon. Tarsal platform show (TPS) and brow fat span (BFS) were measured in three points before and two months after the surgery. Questionnaire that was conducted before surgery and two months after included general complaints considering upper eyelids (visual field narrowing, fallen eyelids, sensation of heavy eyelids, raising head backward in order to enhance vision, headache), patients assessment of eyelid asymmetry and after surgery questions for surgeon and patient concerning satisfaction with outcome. Results. This study involved 50 patients between 33 and 67 years (49.98±8.6). There is statistically significant difference in all points for TPS and BFS before and after operation. No significant asymmetries were notices between eyes neither before, nor after surgery. There is statistically significant difference in operation success between 3 age categories in TPS-P1 (chi square=13.089, df=2, p=0.001) and TPS-P2 (chi square=8.386, df=2, p=0.015) with best results achieved in older patient (>55).There is strong positive and statistically significant correlation between patients' and surgeons' satisfaction (r=0.704, p=0.002), and also between patients' satisfaction and age of the patient (r=0.704, p=0.002). Conclusion. Realistic expectations, adequate information about surgery and possible complication, are essential to a satisfied patient. Objective measurements correlate with patient satisfaction and together with photographs can be useful tool in communication with patient.

Traditional versus laterally extended upper blepharoplasty skin excisions: objective and patient reported outcomes

“…The literature does not include reports on the homogeneity of pretarsal show distribution after a blepharoplasty. However, the increased pretarsal show as a result of a blepharoplasty was in line with the literature, [17][18][19] although the shape of the excisions was not mentioned.…”