Patient satisfaction and surgical outcomes after upper eyelid blepharoplasty in Turkish population

This retrospective study was conducted to review the patient satisfaction and surgical outcomes in Turkish patients with dermatochalasis who underwent upper eyelid blepharoplasty alone or in combination with orbital fat pads removal or browpexy, by comparing them with the outcomes of the previous landmark studies on upper eyelid blepharoplasty. One hundred and sixteen eyes of 58 patients were included in this study. The mean age and the mean follow-up time were 60.1±10.4 (38-77) years and 2.4±1.8(1-6) months, respectively. Of 58 patients, 27 had blepharoplasty alone, 18 had blepharoplasty with orbital fat pads removal, and the remaining 13 had combined blepharoplasty and browpexy surgery. The female ratio (88.9%) was significantly higher in the upper eyelid blepharoplasty with orbital fat pad removal group compared to the other groups (p=.024). From baseline to final visit, margin-reflex distance increased from 2.1±0.8 mm to 3.7±0.8 mm, and blepharoplasty outcomes evaluation (BOE) score from 28.9±6.2 to 76.8±14.1 (both p<.001). Change in BOE score between pre- and post-surgery was significantly higher in patients undergoing combined blepharoplasty and browpexy surgery compared to the other groups. The mean final pretarsal skin height and brow-lid crease distance were 6.8±1.2 mm and 11.1±1.3 mm, respectively. In conclusion, upper eyelid blepharoplasty had favorable anatomical outcomes when performed as single procedure or in combination with other procedures. However, patients became more satisfied after combined blepharoplasty and browpexy compared to the other surgical procedures.