Our Summary

This study looked at the quality of research done on blepharoplasty, which is a surgical procedure that corrects defects, deformities, and disfigurations of the eyelids. The researchers looked at the 100 most cited (most referred to in other studies) papers on this topic. They found that most of these papers were based on case series (a type of research design where a group of patients is studied) or expert opinions, and did not provide the highest level of evidence. The most common topics were new surgical techniques and considerations about the structure of the eye. The authors suggest that there needs to be better quality research, with well-designed studies and standardized measures, to guide doctors in their practice.

FAQs

  1. What is blepharoplasty and what does it correct?
  2. What were the most common topics found in the most cited papers on blepharoplasty?
  3. What did the study suggest about the quality of existing research on blepharoplasty?

Doctor’s Tip

A helpful tip a doctor might give a patient considering blepharoplasty is to carefully research and choose a board-certified plastic surgeon with experience in eyelid surgery. It is important to have realistic expectations about the results of the procedure and to follow post-operative care instructions to ensure proper healing and optimal outcomes. Additionally, discussing any concerns or questions with the surgeon before the procedure can help alleviate any anxiety and ensure a successful surgery.

Suitable For

Patients who are typically recommended blepharoplasty include those with:

  1. Excess skin on the upper eyelids that can impair vision
  2. Puffiness or bags under the eyes
  3. Drooping eyelids that can make a person look tired or older
  4. Eyelids that are causing discomfort or irritation
  5. Asymmetry in the eyelids

It is important for patients considering blepharoplasty to consult with a qualified surgeon who can assess their individual needs and provide personalized recommendations.

Timeline

Before blepharoplasty:

  1. Patient schedules a consultation with a plastic surgeon to discuss their concerns about their eyelids.
  2. Surgeon conducts a physical examination and assesses the patient’s medical history to determine if they are a suitable candidate for blepharoplasty.
  3. Patient receives pre-operative instructions and possibly undergoes additional tests or evaluations.
  4. Surgery date is scheduled and patient prepares for the procedure, including arranging for transportation to and from the surgery center.

After blepharoplasty:

  1. Patient undergoes the blepharoplasty procedure, which typically takes 1-2 hours.
  2. Patient is monitored in the recovery room and then discharged home with post-operative instructions.
  3. Patient experiences swelling, bruising, and discomfort in the days following surgery, which gradually improves over time.
  4. Patient attends follow-up appointments with the surgeon to monitor their healing progress and address any concerns.
  5. Patient may resume normal activities and see final results of the surgery within a few weeks to months, depending on individual healing time.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with blepharoplasty?
  2. What is the recovery process like after blepharoplasty surgery?
  3. How long will the results of blepharoplasty last?
  4. Are there any non-surgical alternatives to blepharoplasty that I should consider?
  5. How many blepharoplasty procedures have you performed and what is your success rate?
  6. Can you show me before and after photos of previous patients who have undergone blepharoplasty?
  7. What type of anesthesia will be used during the surgery?
  8. Will I need to follow any specific post-operative care instructions?
  9. How soon after surgery can I resume normal activities, such as wearing makeup or exercising?
  10. What is the cost of blepharoplasty and will it be covered by my insurance?

Reference

Authors: Charles WN, Lim HK, Charles RC, Basta M, Khajuria A. Journal: Ophthalmic Plast Reconstr Surg. 2022 Jul-Aug 01;38(4):325-329. doi: 10.1097/IOP.0000000000002087. Epub 2022 Nov 16. PMID: 34798655