Effects of Upper Eyelid Blepharoplasty on Perceived Attractiveness, Success, and Health.

[PURPOSE] This study aims to evaluate the impact of upper eyelid blepharoplasty on perceived age, attractiveness, success, and overall health as rated by observers.

[METHODS] A web-based survey was conducted with 203 observers who were unaware of the study's purpose. They assessed preoperative and postoperative images of 12 female patients using the Delphi method to ensure appropriate image selection and unbiased ratings. Observers rated the images on a visual analog scale from 0 to 10, where higher scores indicated more favorable perceptions.

[RESULTS] The observer group consisted of 108 women (53.2%) and 95 men (46.8%), with an age range of 18 to 61 years. The mean age perceived by observers decreased from 51.75 years before surgery to 42.10 years after surgery, indicating a significant reduction in perceived age (p = 0.01). Additionally, postsurgical assessments showed significant increases in perceived attractiveness, success, and overall health.

[CONCLUSIONS] Upper eyelid blepharoplasty significantly enhances how patients are perceived in terms of youthfulness, attractiveness, and success. These findings underscore the positive impact of cosmetic eyelid surgery on public perception.