{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:17:53Z","timestamp":1788164273746,"version":"build-2803163510"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Purpose:<\/jats:title>\n To assess the impact of upper eyelid blepharoplasty on patient-reported outcomes related to functional vision, esthetics, and psychosocial wellbeing in a large patient cohort and to contribute comprehensive PROM (Patient-Reported Outcome Measure)-based data to the literature.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Retrospective, observational case series.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This retrospective observational study included 970 patients who underwent upper eyelid blepharoplasty at a single tertiary care center between 2017 and 2023. Inclusion criteria were dermatochalasis with visual or psychosocial complaints. Patients with prior periocular surgery or incomplete follow-up were excluded.<\/jats:p>\n <\/jats:sec>\n \n Intervention or Observation Procedure(s):<\/jats:title>\n All procedures were performed by the same experienced oculoplastic surgeon using a standardized upper blepharoplasty technique.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s):<\/jats:title>\n Patient-reported outcomes were collected via a structured postoperative questionnaire evaluating daily visual function, mirror appearance satisfaction, social confidence, and overall wellbeing.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of 970 patients (82.9% female, mean age 54.7 \u00b1 9.8 years), 93.3% reported \u201cGood\u201d to \u201cVery Good\u201d improvement in functional vision and daily activity performance. High satisfaction was reported with mirror appearance (96.9%), social confidence (94.7%), and general quality of life. Notably, 96.8% of participants indicated they would recommend the procedure. These results were consistent across age and gender subgroups.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Upper eyelid blepharoplasty significantly improves not only esthetic satisfaction but also functional vision and psychosocial wellbeing. These findings, based on a large sample and structured PROMs, reinforce the classification of blepharoplasty as a procedure with therapeutic, not merely cosmetic, benefits. Further prospective studies may strengthen these findings.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1585_25","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:00:38Z","timestamp":1784894438000},"page":"1361-1365","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Upper eyelid blepharoplasty in 970 patients: Functional and psychosocial outcomes based on a structured PROM questionnaire"],"prefix":"10.4103","volume":"74","author":[{"given":"Ne\u015fe","family":"Arslan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Training and Research Hospital, Alt\u0131nda\u011f, Ankara, Hatay, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eule B","family":"Kakil","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Tayfur Ata S\u00f6kmen Faculty of Medicine, Hatay Mustafa Kemal University, Antakya, Hatay, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"R1-20260831","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1097\/IOP.0000000000002649","article-title":"Is blepharoplasty cost-effective? Utility analysis of dermatochalasis","volume":"40","author":"Lee","year":"2024","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"R2-20260831","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1177\/1120672119857501","article-title":"Prospective analysis of visual function changes in patients with dermatochalasis after upper eyelid blepharoplasty","volume":"30","author":"Altin","year":"2020","journal-title":"Eur J Ophthalmol"},{"key":"R3-20260831","doi-asserted-by":"crossref","first-page":"1870","DOI":"10.1007\/s00266-023-03436-6","article-title":"Upper eyelid blepharoplasty: Surgical techniques and results\u2014A systematic review","volume":"47","author":"Rodrigues","year":"2023","journal-title":"Aesthetic Plast Surg"},{"key":"R4-20260831","doi-asserted-by":"crossref","first-page":"4114","DOI":"10.1007\/s00266-024-04214-8","article-title":"Is the severity of dermatochalasis correlated with patient satisfaction? A study based on PROMs","volume":"48","author":"Marangi","year":"2024","journal-title":"Aesthetic Plast Surg"},{"key":"R5-20260831","doi-asserted-by":"crossref","first-page":"4099","DOI":"10.1007\/s00266-024-04127-6","article-title":"Factors affecting patient satisfaction with double-eyelid blepharoplasty","volume":"48","author":"Liu","year":"2024","journal-title":"Aesthetic Plast Surg"},{"key":"R6-20260831","first-page":"953","article-title":"FACE-Q: Development and validation of a patient-reported outcome instrument for facial aesthetics","volume":"63","author":"Klassen","year":"2010","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R7-20260831","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1097\/SAP.0000000000001894","article-title":"Patient-reported outcome measures in plastic surgery: An introduction and review of clinical applications","volume":"83","author":"Sharma","year":"2019","journal-title":"Ann Plast Surg"},{"key":"R8-20260831","doi-asserted-by":"crossref","first-page":"500","DOI":"10.3390\/medicina60030500","article-title":"Comprehensive evaluation of quality of life following upper eyelid blepharoplasty: A prospective analysis","volume":"60","author":"Vasovi\u0107","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"R9-20260831","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1093\/asj\/sjab389","article-title":"Assessment of patient satisfaction with appearance, psychological well-being, and aging appraisal after upper blepharoplasty","volume":"42","author":"Domela","year":"2022","journal-title":"Aesthet Surg J"},{"key":"R10-20260831","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.bjps.2018.11.010","article-title":"Functional outcomes of upper eyelid blepharoplasty: A systematic review","volume":"72","author":"Hollander","year":"2019","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R11-20260831","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1080\/01676830.2024.2393418","article-title":"The effect of blepharoplasty or blepharoplasty combined with ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease","volume":"44","author":"Leivo","year":"2025","journal-title":"Orbit"},{"key":"R12-20260831","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/aos.13385","article-title":"Functional benefits and patient satisfaction with upper blepharoplasty - evaluated by objective and subjective outcome measures","volume":"95","author":"Jacobsen","year":"2017","journal-title":"Acta Ophthalmol"},{"key":"R13-20260831","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1016\/S0161-6420(99)90354-8","article-title":"Correlation of the vision-related functional impairment associated with blepharoptosis and the impact of surgery","volume":"106","author":"Federici","year":"1999","journal-title":"Ophthalmology"},{"key":"R14-20260831","doi-asserted-by":"crossref","first-page":"2510","DOI":"10.1016\/j.ophtha.2011.09.029","article-title":"Functional indications for upper eyelid ptosis and blepharoplasty surgery: A report by the American Academy of Ophthalmology","volume":"118","author":"Cahill","year":"2011","journal-title":"Ophthalmology"},{"key":"R15-20260831","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/S0002-9394(14)70634-8","article-title":"Improvement in subjective visual function and quality of life outcome measures after blepharoptosis surgery","volume":"121","author":"Battu","year":"1996","journal-title":"Am J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1585_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:00:19Z","timestamp":1788163219000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1585_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1585_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]},"assertion":[{"value":"2025-06-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}