Patient-Reported Concerns, Satisfaction, and Outcomes Following Upper Eyelid Blepharoplasty: A 100-Case Study

Abstract

Purpose: To assess patient-reported preoperative concerns, postoperative experiences, recovery trajectory, and satisfaction following upper eyelid blepharoplasty in a real-world clinical setting in Saudi Arabia.

Patients and Methods: A cross-sectional observational study was conducted at the Polyclinic of King Faisal University, Saudi Arabia, and included 100 adult patients undergoing primary upper eyelid blepharoplasty. Data were collected using a structured, validated questionnaire translated into Arabic, covering preoperative motivations, early postoperative symptoms, functional outcomes, time to resume daily activities, and satisfaction at 3-month follow-up. Descriptive and inferential statistics were applied to analyze patient-reported outcomes.

Results: The most common preoperative motivations were aesthetic concerns (90%) and visual obstruction (45%). Early postoperative complaints were swelling/bruising (80%) and scar visibility (40%). By 3 months, overall satisfaction was 95%, with 85% reporting being “very satisfied.” Most participants (85%) resumed daily activities within 7–10 days. Persistent complications were uncommon, including dry eye (2%) and incomplete eyelid closure (5%). Regret or dissatisfaction was reported by 3% of patients.

Conclusion: Upper eyelid blepharoplasty was associated with very high patient satisfaction, a predictable recovery course, and low rates of persistent complications. Incorporating patient-centered assessments can enhance surgical planning, improve expectation management, and inform postoperative counseling and care.