背景:面部衰老,特别是在眶周区域,在当代文化中越来越受到关注。上眼睑成形术,广泛进行的整容手术,解决与眼睑皮肤松弛症相关的美学和功能问题。本研究旨在调查患者满意度,满意度与术前皮肤松弛症严重程度之间的关系,以及术前皮肤过度的功能影响。
方法:一项前瞻性研究于2022年4月至2023年4月进行,评估原发性上眼睑成形术的结果。使用FACE-Q问卷测量患者报告的结果,评估生活质量和满意度。使用功能问卷评估术前症状。皮肤松弛症的严重程度分为三组。使用SPSS进行统计分析。
结果:79例患者符合纳入标准。术后FACE-Q结果表明,上眼睑评估和对眼睛的满意度显着改善。功能问卷结果显示总体临床改善(p<0.01)。视野测试表明第3组的改善具有统计学意义。术前皮肤松弛程度与术后美学满意度之间无相关性。
结论:该研究强调了经过验证的问卷的重要性,特别是FACE-Q,评估患者对上眼睑老化的满意度和不适感。不管功能受损,任何程度的皮肤松弛症都可能需要治疗,以确保患者对美容结果的满意度。另一方面,视觉领域的功能优势和改进也支持了该程序超出纯粹美学方面的影响。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Facial ageing, particularly in the periorbital region, is a growing concern in contemporary culture. Upper blepharoplasty, a widely performed cosmetic surgery, addresses both aesthetic and functional issues related to eyelid dermatochalasis. This
study aims to investigate patient satisfaction, the relationship between satisfaction and preoperative dermatochalasis severity, and the functional impact of preoperative skin excess.
METHODS: A prospective
study was conducted from April 2022 to April 2023, evaluating primary upper blepharoplasty outcomes. Patient-reported outcomes were measured using the FACE-Q questionnaire, assessing quality of life and satisfaction. Preoperative symptoms were evaluated using a functional questionnaire. Dermatochalasis severity was classified into three groups. Statistical analyses were performed using SPSS.
RESULTS: Seventy-nine patients met inclusion criteria. Postoperative FACE-Q results demonstrated significant improvements in upper eyelid appraisal and satisfaction with eyes. Functional questionnaire results indicated an overall clinical improvement (p < 0.01). Visual field tests showed statistically significant improvement in group 3. No correlation was found between preoperative dermatochalasis severity and postoperative aesthetic satisfaction.
CONCLUSIONS: The
study emphasizes the importance of validated questionnaires, particularly FACE-Q, in evaluating patient satisfaction and discomfort with upper lid ageing. Regardless of functional impairments, any degree of dermatochalasis may warrant treatment to ensure patient satisfaction with the cosmetic outcome. On the other hand, the functional benefits and improvements in the visual field also support the impact that the procedure has beyond purely aesthetic aspects.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .