Department of Plastic Surgery and Hand Surgery, University Hospital Rechts der Isar, Munich Technical University.
Department of Plastic Surgery and Burns, Alexandroupoli University Hospital, Democritus University of Thrace, Alexandroupoli, Greece.
J Craniofac Surg. 2023 May 1;34(3):888-892. doi: 10.1097/SCS.0000000000009119. Epub 2022 Nov 18.
Our previous retrospective study indicates that esthetic surgery in general results in a significant improvement in Quality of life (QoL). This is the first indication-specific prospective evaluation of QoL after blepharoplasty using standardized and validated questionnaires.
To report changes in QoL after blepharoplasty prospectively with a 6-month follow-up.
The same surgical team performed an esthetic blepharoplasty on 50 patients. Participants answered 1 set of questionnaires preoperatively and 6 months postoperatively. The instrument consisted of a self-developed indication-specific part specially designed for blepharoplasty and 4 validated and standardized testing instruments (FLZ, FPI-R, RSES, and PHQ-4) with norm data for German-speaking countries available.
This study reveals a high rate of satisfaction after blepharoplasty. 96% felt better about themselves and 94% would undergo the procedure again. Statistically significant increased values were found postoperatively in the items "income" ( P =0.016), "family life" ( P =0.028), "partner relationship" ( P =0.039), "ability to relax" ( P <0.001), "energy" ( P <0.001), "hobbies" ( P <0.001), and with their outer appearance in general ( P =0.018). Blepharoplasty showed a statistically significant improvement in emotional stability ( P =0.017) and a reduction in depressive symptoms ( P <0.001). Our patients had statistically significantly higher self-esteem before ( P <0.001) and after ( P <0.001) the intervention.
Our prospective study shows that blepharoplasty increases most aspects of QoL significantly, has a positive effect on emotional and physical well-being, and reduces the incidence of depressive symptoms and anxiety.
我们之前的回顾性研究表明，一般的美容手术会显著提高生活质量（QoL）。这是首次使用标准化和经过验证的问卷对眼睑成形术的特定指征特异性 QoL 进行前瞻性评估。
前瞻性报告眼睑成形术 6 个月随访后的 QoL 变化。
同一手术团队对 50 例患者进行了美容性眼睑成形术。参与者在术前和术后 6 个月回答了 1 套问卷。该工具包括 1 个自行开发的特定于指征的部分，专门为眼睑成形术设计，以及 4 个经过验证和标准化的测试工具（FLZ、FPI-R、RSES 和 PHQ-4），具有德语国家的常模数据。
这项研究显示，眼睑成形术后的满意度很高。96%的患者对自己感觉更好，94%的患者会再次接受该手术。术后在“收入”（P=0.016）、“家庭生活”（P=0.028）、“伴侣关系”（P=0.039）、“放松能力”（P<0.001）、“能量”（P<0.001）、“爱好”（P<0.001）和总体外观方面发现了统计学上显著的增加。眼睑成形术在情绪稳定性方面有统计学上的显著改善（P=0.017），并降低了抑郁症状（P<0.001）。我们的患者在干预前后的自尊心都有统计学上的显著提高（P<0.001）。
我们的前瞻性研究表明，眼睑成形术显著提高了大多数 QoL 方面，对情绪和身体健康有积极影响，并降低了抑郁症状和焦虑的发生率。
