Division of Plastic & Reconstructive Surgery, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
McGaw Medical Center of Northwestern University, Chicago, IL, USA.
Aesthet Surg J. 2021 Apr 12;41(5):NP198-NP209. doi: 10.1093/asj/sjaa369.
Patients presenting for upper blepharoplasty can exhibit different aging patterns and we have anecdotally observed wide variability in upper blepharoplasty approaches among surgeons. However, upper blepharoplasty practice patterns have not been systematically analyzed among members of The Aesthetic Society.
The aim of this study was to report upper blepharoplasty practice patterns, the recognition of different patient presenting features, and to assess the incidence and management of ptosis as reported by members of The Aesthetic Society.
A 29-item electronic questionnaire was distributed to 1729 Aesthetic Society members with available email addresses.
In total, 214 Aesthetic Society members submitted the questionnaire, for a response rate of 12.4%. There was a significantly increased rate of volume preservation among surgeons with greater experience (≥10 years in practice) and a high-volume (≥100 cases in past 12 months) of upper blepharoplasty cases. Furthermore, high-volume upper blepharoplasty surgeons were significantly more likely to perform concomitant upper lid fat grafting (P = 0.03), browlift (P = 0.02), and ptosis repair (P = 0.01). Ninety-five percent of respondents reported a mild/moderate ptosis (MRD1 2 to <4mm) incidence of <25%. Among surgeons who perform ptosis repair, 97.4% utilize levator advancement or plication as their most commonly used technique.
High-volume upper blepharoplasty surgeons are more likely to preserve upper lid volume and perform concomitant browlift and ptosis repair. Our data suggest that different upper eyelid aging patterns and mild/moderate ptosis are underrecognized.
接受上睑成形术的患者可能表现出不同的衰老模式，我们曾观察到外科医生在上睑成形术方法上存在广泛的差异。然而，美学协会的成员并未对上睑成形术的实践模式进行系统分析。
本研究旨在报告上睑成形术的实践模式、不同患者表现特征的认识，并评估美学协会成员报告的上睑下垂的发生率和处理方式。
向 1729 名有可用电子邮件地址的美学协会成员发送了一份 29 项的电子问卷。
共有 214 名美学协会成员提交了问卷，回复率为 12.4%。经验更丰富（≥10 年）和高容量（过去 12 个月中≥100 例）的外科医生，上睑保留体积的比例显著增加。此外，高容量上睑成形术外科医生更有可能同时进行上睑脂肪移植（P=0.03）、眉提升（P=0.02）和上睑下垂修复（P=0.01）。95%的受访者报告轻度/中度上睑下垂（MRD1 2 至 <4mm）的发生率<25%。行上睑下垂修复的外科医生中，97.4%最常使用提上睑肌前徙或缩短术。
高容量上睑成形术外科医生更倾向于保留上睑体积，并同时进行眉提升和上睑下垂修复。我们的数据表明，不同的上眼睑衰老模式和轻度/中度上睑下垂被低估。
