Eyelid surgery, also known as blepharoplasty, is a cosmetic procedure to improve the appearance of the upper eyelids, lower eyelids, or both. It’s primarily performed to correct drooping eyelids or remove excess skin that creates a tired or sad appearance. As one of the most popular cosmetic procedures, blepharoplasty can help achieve a more youthful, refreshed look. But are patients actually satisfied with the results? Here’s a look at some key facts and statistics on eyelid surgery satisfaction.
What is eyelid surgery?
Eyelid surgery, or blepharoplasty, removes excess fat, skin, and muscle from the upper and lower eyelids. An upper blepharoplasty improves droopy upper eyelids and may involve removing excess skin, muscle, and fat. A lower blepharoplasty treats under-eye bags, puffiness, and wrinkles by removing excess fat, skin, and muscle from below the lashes. The procedure creates a more alert, youthful appearance.
Who is a good candidate for blepharoplasty?
Ideal candidates for eyelid surgery include men and women who have good general health but droopy upper eyelids that impair vision or give a sad, tired appearance. Under-eye bags, dark circles, and lower eyelid wrinkles can also be improved with lower blepharoplasty. The best candidates have noticeable eyelid drooping or bags but still have enough underlying muscle tone for the surgery to work well.
How is blepharoplasty performed?
Eyelid surgery is usually performed under local anesthesia with intravenous sedation. The surgery takes 1-3 hours depending on whether the upper, lower, or both eyelids are addressed. For upper blepharoplasty, the surgeon makes incisions along the natural crease of the upper eyelid and removes excess fat, muscle, and loose skin. The incision is then closed with fine sutures. Lower blepharoplasty incisions are made just below the lash line and within the natural crease of the lower lid. Excess fat and skin are trimmed and removed before the incision is closed.
Patient Satisfaction Surveys
Several surveys have been conducted over the years to measure patient satisfaction with blepharoplasty:
ASPS 2018 Statistics
In 2018, the American Society for Aesthetic Plastic Surgery (ASPS) surveyed 626 blepharoplasty patients. Key results on satisfaction:
- 95% of upper eyelid surgery patients reported satisfaction with the results
- 89% of lower eyelid surgery patients reported satisfaction
This indicates a very high satisfaction rate for both types of eyelid surgery.
AAFPRS 2011 Statistics
In 2011, the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) surveyed 278 patients who had undergone eyelid surgery.
- 94% said the procedure met or exceeded their expectations
- 97% said they would recommend eyelid surgery to other patients
Again, these results demonstrate a very high rate of patient satisfaction with blepharoplasty procedures overall.
ASAPS Eyelid Surgery Survey
In 2017, the American Society for Aesthetic Plastic Surgery (ASAPS) conducted an eyelid surgery survey of 706 patients. Key findings:
- 92% of patients were happy with the results
- 94% said their self-confidence improved after surgery
- 96% said they would recommend the procedure to a friend
This survey confirms the consistently high satisfaction patients report after undergoing blepharoplasty.
Factors That Influence Satisfaction
While most patients are pleased with their eyelid surgery results, satisfaction levels can be influenced by certain factors:
Realistic Expectations
Patients with realistic expectations about results tend to be more satisfied. Blepharoplasty will improve but not necessarily eliminate signs of aging like fine lines or dark circles. Clear communication from the surgeon helps set realistic expectations.
Surgeon Experience
An experienced, board-certified surgeon who specializes in eyelid procedures can deliver better aesthetic results. Choosing the right surgeon is key for satisfaction.
Following Post-Op Care
Closely following post-operative care instructions during recovery can optimize healing and improve the final result. This includes things like keeping head elevated, using cold compresses, avoiding certain medications, and attending follow-ups.
Not Expecting Perfection
Understanding that no cosmetic surgery can achieve perfection is important. Minor asymmetries or irregularities after surgery are normal. Being satisfied with noticeable yet subtle improvement is reasonable.
Benefits Beyond Appearance
While most patients seek blepharoplasty for aesthetic enhancement, the procedure provides functional benefits as well. These additional perks also contribute to patient satisfaction:
Improved Vision
Upper blepharoplasty can improve obstructed vision caused by droopy eyelids. This major functional benefit adds to patients’ happiness with the surgery.
Reduced Eye Strain
Removing excess upper eyelid skin can reduce heaviness and eye strain as well. Patients report their eyes feel more open and refreshed.
More Confidence
Looking more alert and youthful with smoother eyelids can boost self-esteem. This translates into greater social confidence for many blepharoplasty patients.
Looking Rested
With reduced drooping and under-eye bags, many patients look well-rested even without makeup. The elimination of a tired appearance makes patients happy.
Risks and Complications
While major complications are relatively rare with eyelid surgery, risks include:
Infection
As with any surgery, infection is possible after blepharoplasty but easily treated with antibiotics if caught early.
Bleeding and Bruising
Temporary minor bleeding and bruising are common and resolve on their own.
Dry Eyes
Removing too much fat and skin can cause dry eyes. Lubricating drops can provide relief.
Ectropion
Over-resectioning of lower eyelid skin can cause ectropion, where the eyelid turns out. Additional surgery may be needed to correct it.
Asymmetry
Some subtle asymmetry between eyes or lids is common after surgery. A skilled surgeon minimizes noticeable asymmetry. Complete symmetry is unlikely.
While complications can happen, they are infrequent with an experienced surgeon. Following post-op instructions lowers risks as well.
Conclusions
Multiple patient surveys indicate that approximately 90% or more of patients are happy with their eyelid surgery results. Satisfaction is highest when patients select an experienced, board-certified surgeon and have realistic expectations about the improvements blepharoplasty can provide. While a small risk of complications exists, most patients report rejuvenated, smooth eyelids and increased confidence after surgery. For patients bothered by sagging upper lids or under-eye bags, eyelid surgery is highly likely to improve appearance and provide functional benefits as well.
| Survey | Year | # of Patients Surveyed | % Satisfied |
|---|---|---|---|
| ASPS | 2018 | 626 | 95% upper blepharoplasty 89% lower blepharoplasty |
| AAFPRS | 2011 | 278 | 94% |
| ASAPS | 2017 | 706 | 92% |
In summary, multiple surveys show that 90% or more of eyelid surgery patients are satisfied with their procedure and results. This high satisfaction rate reflects the significant improvements in appearance and vision that blepharoplasty can provide. While a small risk of complications exists, choosing an experienced surgeon and having realistic expectations will optimize patient satisfaction with eyelid rejuvenation.