Dr. Flora LEVIN
Cirurgião Oculoplástico
An unhappy blepharoplasty patient: what did the surgeon miss?
Objectives: To describe the most common reasons for patient dissatisfaction with upper blepharoplasty results and what the surgeon missed in their pre-operative assessment or surgical planning that lead to that.
Introduction: Patients may present after blepharoplasty complaining that they are not happy with their results. As cosmetic surgeons we have a responsibility to understand what is the desirable cosmetic result, both general and individual, and recognize features that, unless corrected, may lead to dissatisfaction.
Materials / method: Personal experience and observations
Results: Failure to recognize masked ptosis, eyelid volume deficiency, brow descent and individual anatomic features may lead to unsatisfactory surgical outcomes. The tarsal platform show (TPS) plays a critical role in the perception of eyelid appearance and patient satisfaction.
Conclusion: The lecture describes what the patient sees as an unsatisfactory result (still appearing tired, having residual eyelid skin or heavy eyelids, having a visible scar, or "not looking like myself") and how to identify and correct features that led to that.
