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Facial Plast Surg 2023; 39(01): 098-103
DOI: 10.1055/s-0042-1749168
Original Research

Patient-Reported Outcome Analysis after Resident Performed Upper Blepharoplasty: A Suitable Procedure for Young Surgeons

Maximilian Mahrhofer 
1   Department of Plastic and Reconstructive Surgery, Paracelsus Medical University Salzburg, Hospital of the Brothers of St. John of God, Salzburg, Austria
2   Department of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Tuebingen, Germany
,
Karl Schwaiger
1   Department of Plastic and Reconstructive Surgery, Paracelsus Medical University Salzburg, Hospital of the Brothers of St. John of God, Salzburg, Austria
,
Laurenz Weitgasser
2   Department of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Tuebingen, Germany
,
Thomas Schoeller
2   Department of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Tuebingen, Germany
,
Wolfgang Hitzl
3   Research Office (Biostatistics), Paracelsus Medical University Salzburg, Salzburg, Austria
4   Department of Ophthalmology and Optometry, Paracelsus Medical University Salzburg, Salzburg, Austria
5   Research Program Experimental Ophthalmology and Glaucoma Research, Paracelsus Medical University Salzburg, Salzburg, Austria
,
Gottfried Wechselberger
1   Department of Plastic and Reconstructive Surgery, Paracelsus Medical University Salzburg, Hospital of the Brothers of St. John of God, Salzburg, Austria
› Author Affiliations Funding None.
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Abstract

Upper blepharoplasty is one of the most frequently performed aesthetic surgeries worldwide. While it is considered a low risk procedure, patients have high expectations regarding the outcome of elective surgery of the face and the majority of residents usually have little exposure to cosmetic surgeries in the early years of their training. All eligible patients who had undergone bilateral upper blepharoplasty at the senior author's institution between January 2016 and August 2019 were invited to participate in an online questionnaire. Our study used a 27-item questionnaire to evaluate postoperative patient satisfaction and compared the patient reported outcome between operations conducted by surgeons with more than 3 years of experience and less than 3 years. In total, 102 patients returned the completed questionnaire and were included in our study after further screening. There was no significant difference in patient reported satisfaction concerning the aesthetic outcome (8.75 vs. 8.29, p=0.49), and complications (6.2 vs. 18.6%, p=0.63), related to the experience of the surgeons. Overall patient satisfaction was very high, while the rate of complications was low. Patient reported aesthetic outcomes after blepharoplasty demonstrated no significant difference comparing the experience of the surgeons.

Keywords

plastic surgery - blepharoplasty - education - cosmetic surgery

Supplementary Material



Publication History

Article published online:
13 September 2022

© 2022. Thieme. All rights reserved.

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  • References

  • 1 Bullock JD, Warwar RE, Bienenfeld DG, Marciniszyn SL, Markert RJ. Psychosocial implications of blepharoptosis and dermatochalasis. Trans Am Ophthalmol Soc 2001; 99: 65-71 , discussion 71–72
    PubMedGoogle Scholar
  • 2 Surgery ISoAP.. ISAPS Global Survey Results 2020. Accessed February 02, 2022 at: https://www.isaps.org/wp-content/uploads/2022/01/ISAPS-Global-Survey_2020.pdf
    PubMedGoogle Scholar
  • 3 Freiberg A. Challenges in developing resident training in aesthetic surgery. Ann Plast Surg 1989; 22 (03) 184-187
    CrossrefPubMedGoogle Scholar
  • 4 Freiberg A, Giguère D, Ross DC, Taylor JR, Bell T, Kerluke LD. Are patients satisfied with results from residents performing aesthetic surgery?. Plast Reconstr Surg 1997; 100 (07) 1824-1831 , discussion 1832–1833
    CrossrefPubMedGoogle Scholar
  • 5 Hellman JB, Mahmood B, Lin LK. Safety and efficacy of resident-performed functional upper eyelid blepharoplasty. Ophthal Plast Reconstr Surg 2019; 35 (06) 578-580
    CrossrefPubMedGoogle Scholar
  • 6 Koulaxouzidis G, Momeni A, Simunovic F, Lampert F, Bannasch H, Stark GB. Aesthetic surgery performed by plastic surgery residents: an analysis of safety and patient satisfaction. Ann Plast Surg 2014; 73 (06) 696-700
    Google Scholar
  • 7 Mauriello Jr JA. Perspective: cosmetic eyelid surgery from the patient's perspective. Ophthal Plast Reconstr Surg 2003; 19 (04) 320-322
    CrossrefPubMedGoogle Scholar
  • 8 Saalabian AA, Liebmann P, Deutinger M. Which tissue should be removed in upper blepharoplasty? Analysis and evaluation of satisfaction. World J Plast Surg 2017; 6 (03) 324-331
    PubMedGoogle Scholar
  • 9 Herruer JM, Prins JB, van Heerbeek N, Verhage-Damen G, Ingels K. Patient-reported outcome measurement in upper blepharoplasty: how to measure what the patient sees. J Plast Reconstr Aesthet Surg 2018; 71 (09) 1346-1351
    CrossrefPubMedGoogle Scholar
  • 10 Papadopulos NA, Hodbod M, Henrich G. et al. The Effect of blepharoplasty on our patient's quality of life, emotional stability, and self-esteem. J Craniofac Surg 2019; 30 (02) 377-383
    CrossrefPubMedGoogle Scholar
  • 11 Hollander MHJ, Contini M, Pott JW, Vissink A, Schepers RH, Jansma J. Functional outcomes of upper eyelid blepharoplasty: a systematic review. J Plast Reconstr Aesthet Surg 2019; 72 (02) 294-309
    CrossrefPubMedGoogle Scholar
  • 12 Hollander MHJ, Schortinghuis J, Vissink A, Jansma J, Schepers RH. Aesthetic outcomes of upper eyelid blepharoplasty: a systematic review. Int J Oral Maxillofac Surg 2020; 49 (06) 750-764
    CrossrefPubMedGoogle Scholar
  • 13 Sarwer DB, Whitaker LA, Wadden TA, Pertschuk MJ. Body image dissatisfaction in women seeking rhytidectomy or blepharoplasty. Aesthet Surg J 1997; 17 (04) 230-234
    CrossrefPubMedGoogle Scholar
  • 14 Liu TS, Miller TA. Economic analysis of the future growth of cosmetic surgery procedures. Plast Reconstr Surg 2008; 121 (06) 404e-412e
    CrossrefPubMedGoogle Scholar
  • 15 Bingham HG. Training in esthetic surgery: some problems encountered in a university program. Plast Reconstr Surg 1980; 65 (02) 227-228
    CrossrefPubMedGoogle Scholar
  • 16 Imahara SD, Scott JR, Neligan PC. Career plans of graduating plastic surgery trainees in 2009: the impact of an uncertain economic climate. Plast Reconstr Surg 2009; 124 (06) 2173-2178
    CrossrefPubMedGoogle Scholar
  • 17 Momeni A, Goerke SM, Bannasch H, Arkudas A, Stark GB. The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany. Ann Plast Surg 2013; 70 (06) 704-708
    CrossrefPubMedGoogle Scholar
  • 18 Chivers QJ, Ahmad J, Lista F. et al. Cosmetic surgery training in Canadian plastic surgery residencies: are we training competent surgeons?. Aesthet Surg J 2013; 33 (01) 160-165
    Google Scholar
  • 19 Morrison CM, Rotemberg SC, Moreira-Gonzalez A, Zins JE. A survey of cosmetic surgery training in plastic surgery programs in the United States. Plast Reconstr Surg 2008; 122 (05) 1570-1578
    CrossrefPubMedGoogle Scholar
  • 20 Ingargiola MJ, Molina Burbano F, Yao A. et al. Plastic surgery resident-run cosmetic clinics: a survey of current practices. Aesthet Surg J 2018; 38 (07) 793-799
    CrossrefPubMedGoogle Scholar
  • 21 Ourian AJ, Doval AF, Zavlin D, Chegireddy V, Echo A. Evaluating patient outcomes in breast and abdominal cosmetic plastic surgery procedures involving residents. Aesthet Surg J 2019; 39 (05) 572-578
    CrossrefPubMedGoogle Scholar
  • 22 McNichols CHL, Diaconu S, Alfadil S. et al. Cosmetic surgery training in plastic surgery residency programs. Plast Reconstr Surg Glob Open 2017; 5 (09) e1491
    CrossrefPubMedGoogle Scholar
  • 23 Perdikis G, Eaves FF, Glassman GE. et al. Aesthetic surgery in plastic surgery academia. Aesthet Surg J 2020; 41 (07) 829-841
    CrossrefPubMedGoogle Scholar
  • 24 Kaplan J, Volk AS, Ashley JR, Izaddoost S, Reece E, Winocour S. A systematic review of resident aesthetic clinic outcomes. Aesthet Surg J 2019; 39 (09) NP387-NP395
    CrossrefPubMedGoogle Scholar
  • 25 Qureshi AA, Parikh RP, Myckatyn TM, Tenenbaum MM. Resident cosmetic clinic: practice patterns, safety, and outcomes at an Academic Plastic Surgery Institution. Aesthet Surg J 2016; 36 (09) NP273-NP280
    CrossrefPubMedGoogle Scholar
  • 26 Shakir S, Kozak GM, Nathan SL. et al. The role of a resident aesthetic clinic in addressing the trainee autonomy gap. Aesthet Surg J 2020; 40 (05) NP301-NP311
    CrossrefPubMedGoogle Scholar
  • 27 Weissler JM, Carney MJ, Yan C, Percec I. The value of a resident aesthetic clinic: a 7-year institutional review and survey of the chief resident experience. Aesthet Surg J 2017; 37 (10) 1188-1198
    CrossrefPubMedGoogle Scholar
  • 28 Brandel MG, DʼSouza GF, Reid CM, Dobke MK, Gosman AA. Analysis of a resident aesthetic clinic: process for rhinoplasty, resident experience, and patient satisfaction. Ann Plast Surg 2017; 78 (suppl 5 4): S175-S179
    CrossrefPubMedGoogle Scholar
  • 29 Sterodimas A, Boriani F, Bogetti P, Radwanski HN, Bruschi S, Pitanguy I. Junior plastic surgeon's confidence in aesthetic surgery practice: a comparison of two didactic systems. J Plast Reconstr Aesthet Surg 2010; 63 (08) 1335-1337
    CrossrefPubMedGoogle Scholar
  • 30 Brown E, Choi J, Sairi T. Resident involvement in plastic surgery: divergence of patient expectations and experiences with surgeon's attitudes and actions. J Surg Educ 2020; 77 (02) 291-299
    CrossrefPubMedGoogle Scholar
  • 31 Carruthers KH, McMahan JD, Taylor A, Pearson G, Tiwari P, Kocak E. Patient attitudes toward resident participation in cosmetic vs reconstructive outpatient consultations. J Surg Educ 2015; 72 (03) 477-482
    CrossrefPubMedGoogle Scholar