Abstract:
BACKGROUND: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 The Aesthetic Society members. OBJECTIVES:The aim of this study is to report upper blepharoplasty practice patterns, the recognition of different patient presenting features, and to assess the reported incidence and management of ptosis among The Aesthetic Society members. METHODS:A 29-item electronic questionnaire was distributed to 1729 Aesthetic Society members with available email addresses. RESULTS:Two-hundred fourteen 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. CONCLUSIONS:High-volume upper blepharoplasty surgeons are more likely to preserve upper lid volume and perform concomitant browlift and ptosis repair. Our data suggests that different upper eyelid aging patterns and mild/moderate ptosis are underrecognized.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Vaca EE,Bricker JT,Alghoul MSdoi
10.1093/asj/sjaa369subject
Has Abstractpub_date
2020-12-21 00:00:00eissn
1090-820Xissn
1527-330Xpii
6042587pub_type
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journal_title:Aesthetic surgery journal
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