Our Summary

In simpler terms, this research paper is about a type of cosmetic surgery called lower eyelid blepharoplasty, which is a procedure to improve the appearance of the lower eyelids. The researchers wanted to find out how long the effects of this surgery last, based on what has been reported in scientific literature over the past 20 years.

They looked at 49 studies involving a total of 10,698 patients who had undergone this surgery. They found that the average time that these studies followed up with patients after surgery was just over a year. The studies reported a very low rate of complications or need for additional surgery.

However, the researchers pointed out that very few of these studies provided photographs showing the long-term results of the surgery. Only 10 patients had photos taken more than two years after their surgery. This makes it hard to know for sure how well the surgery works in the long run.

The researchers concluded that while this type of surgery seems to be safe and effective, more work needs to be done to document its long-term effects. They suggest that studies should follow up with patients for a longer period of time and provide more photographs to clearly show the results of the surgery over time. This would help people considering this surgery to make an informed decision.

FAQs

  1. What is the lower eyelid blepharoplasty procedure?
  2. How long do the effects of lower eyelid blepharoplasty last according to the studies?
  3. What recommendations do the researchers make for future studies on lower eyelid blepharoplasty?

Doctor’s Tip

A doctor might advise a patient considering blepharoplasty to carefully research and choose a board-certified plastic surgeon with experience in eyelid surgery. They may also recommend discussing realistic expectations for the results of the surgery and the importance of following post-operative care instructions to optimize healing and minimize potential complications. Additionally, they may suggest considering the long-term effects of the surgery and the need for potential future touch-up procedures.

Suitable For

Patients who are typically recommended for blepharoplasty are those who have excess skin, fat, or muscle in their lower eyelids that causes puffiness, bags, or drooping. These patients may have a tired or aged appearance due to these characteristics. Additionally, patients who have a genetic predisposition to these issues or who have experienced significant weight loss may also be recommended for blepharoplasty. Overall, candidates for blepharoplasty are generally in good health and have realistic expectations for the outcome of the surgery.

Timeline

Before blepharoplasty:

  • Patient consults with a plastic surgeon to discuss concerns about the appearance of their lower eyelids
  • Pre-operative evaluation to determine if the patient is a good candidate for surgery
  • Patient receives instructions on how to prepare for surgery, including stopping certain medications and avoiding smoking
  • Surgery is performed under local anesthesia or sedation, depending on the patient’s preference
  • Recovery period of 1-2 weeks, during which the patient may experience swelling, bruising, and discomfort

After blepharoplasty:

  • Follow-up appointments with the plastic surgeon to monitor healing and address any concerns
  • Most patients are able to return to work and normal activities within 1-2 weeks
  • Swelling and bruising gradually subside over the course of several weeks
  • Final results of the surgery become apparent within 3-6 months
  • Long-term follow-up to assess the lasting effects of the surgery, which may include additional procedures or touch-ups as needed

Overall, the timeline for a patient undergoing blepharoplasty includes initial consultation, surgery, recovery period, follow-up appointments, and long-term monitoring of results. It is important for patients to have realistic expectations and to communicate openly with their plastic surgeon throughout the process.

What to Ask Your Doctor

Some questions a patient should ask their doctor about blepharoplasty include:

  1. What are the potential risks and complications associated with lower eyelid blepharoplasty?
  2. How long do the effects of the surgery typically last?
  3. Will I need additional surgeries or touch-up procedures in the future?
  4. How long is the recovery period, and what can I expect during the recovery process?
  5. Are there any specific post-operative care instructions I should follow to optimize my results?
  6. Can you provide before and after photos of previous patients who have undergone this surgery?
  7. What are the qualifications and experience of the surgeon who will be performing the procedure?
  8. What type of anesthesia will be used during the surgery, and what are the potential side effects?
  9. How much does the procedure cost, and is it covered by insurance?
  10. Are there any alternative treatments or procedures that may achieve similar results?

Reference

Authors: Wilson SC, Daar DA, Maliha SG, Abdou SA, Levine SM, Baker DC. Journal: Aesthet Surg J. 2018 Nov 12;38(12):1289-1297. doi: 10.1093/asj/sjy186. PMID: 30084870