From the Plastic Surgery Division, Department of Surgery, Mayo Clinic; Department of Mathematics, Faculty of Sciences, University of Oviedo; Division of Plastic, Craniofacial, and Hand Surgery, Department of Surgery, Sidra Medicine; and Weill Cornell Medical College-Qatar.
Plast Reconstr Surg. 2022 Sep 1;150(3):539-548. doi: 10.1097/PRS.0000000000009458. Epub 2022 Jun 24.
The perceptual response to aging changes in the periorbital region and the effects of surgical rejuvenation on that response have not been elucidated. The authors examined the reflexive visual response to periorbital aging before and after brow lift and upper blepharoplasty surgery and investigated how observers' character attributions of the images were affected by the rejuvenative intervention.
Preoperative and postoperative photographs were obtained of patients with brow ptosis and dermatochalasis who underwent brow lift and blepharoplasty. Forty observers examined each image while an infrared eye-tracking camera continuously recorded their eye movements. The observers rated the images with respect to character attributes (attractiveness, trustworthiness, sociability, healthiness, and capability) on a scale of one to seven.
Fourteen patients who underwent brow lift and blepharoplasty were identified and studied. The surgical intervention was found to increase observers' attention to the eye and brow region, while decreasing relative attention to the forehead and lower eyelid areas; increase the two-dimensional surface area of the forehead and eye and brow zones in a manner directly associated with the measured changes in visual attention; and significantly increase the ratings for all five positively valanced character attributes compared with preoperative controls.
The authors provide an important combination of explicit and implicit data illustrating how surgical rejuvenation unveils the periorbital region to the observer. This change in pattern of inspection was associated with an improvement in the perception of character.
人们对眶周区域衰老变化的感知反应以及手术年轻化对这种反应的影响尚未阐明。作者研究了提眉和上睑成形术前后眶周老化的反射视觉反应，并探讨了观察者对图像的性格归因如何受到年轻化干预的影响。
对患有眉下垂和皮肤松弛的患者进行提眉和上睑成形术，获取术前和术后的照片。40 名观察者检查了每张图像，同时红外眼动跟踪摄像机连续记录了他们的眼球运动。观察者对图像的特征属性（吸引力、可信度、社交性、健康和能力）进行了一到七分的评分。
确定并研究了 14 名接受提眉和上睑成形术的患者。研究发现，手术干预增加了观察者对眼睛和眉毛区域的注意力，同时减少了对额头和下眼睑区域的相对注意力；以与视觉注意力测量变化直接相关的方式增加了额头和眼睛及眉毛区域的二维表面积；与术前对照组相比，所有五个正值特征属性的评分显著增加。
作者提供了明确和隐含数据的重要组合，说明了手术年轻化如何将眶周区域展现给观察者。这种检查模式的变化与对性格的感知改善有关。
