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.

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.

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.

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.

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.

Purpose: To compare corneal higher order aberrations (HOAs) in patients with epiphora caused by unilateral primary acquired nasolacrimal duct obstruction (PANDO) and their fellow eyes. Methods: A total of 122 eyes of 61 patients with unilateral PANDO were included. Affected eyes were named as group 1 and contralateral eyes as group 2. The Munk score and fluorescein dye disappearance test (FDDT) were assessed. Corneal topographic and HOAs measurements were taken by Sirius topography. Results: There were 47 female and 14 male patients. The mean keratometry was 43.84 ± 1.4 in group 1 and 43.96 ± 1.4 in group 2 (p = 0.73). The mean corneal topographic astigmatism was 0.81 ± 0.7 in group 1 and 0.78 ± 0.5 in group 2 (p = 0.57). The mean coma-like aberration was 0.19 ± 0.2 in group 1 and 0.10 ± 0.1 in group 2 (p = 0.03). The mean spherical-like aberration was 0.16 ± 0.1 in group 1 and 0.11 ± 0.1 in group 2 (p = 0.04). The mean total corneal HOA was 0.30 ± 0.5 in group 1 and 0.23 ± 0.2 in group 2 (p = 0.04). The mean Munk score was 3.47 ± 1.0 in group 1. There was a positive correlation between the Munk score and both coma-like aberration (r = 0.53, p = 0.003) and total corneal HOAs (r = 0.44, p = 0.010). The mean FDDT grade was 2.60 ± 0.1 in group 1. A positive correlation was observed between the FDDT grade and both coma-like aberration (r = 0.48, p = 0.001) and total corneal HOAs (r = 0.33, p = 0.001). Conclusions Epiphora in patients with PANDO can affect corneal HOAs. As patients’ symptoms and tear pooling were increased as corneal HOA levels increased.