{"title":"Evaluation of morphological and psychological outcomes after sub-brow blepharoplasty.","authors":"Tengfei Wang, Yunke Li, Mengru Pang","doi":"10.3389/fsurg.2025.1658806","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Periorbital aging commonly presents with upper eyelid laxity and brow descent. Sub-brow blepharoplasty is a promising surgical intervention to address these concerns. This study aimed to evaluate both morphological and psychological outcomes of sub-brow blepharoplasty in a Chinese population.</p><p><strong>Methods: </strong>Sixty-four patients undergoing sub-brow blepharoplasty at the Plastic Surgery Department of Guizhou Medical University (January 2022-October 2023) were enrolled. All surgeries were performed by the same surgeon. Standardized follow-ups occurred postoperatively at T1 (immediately), T2 (1 month), and T3 (6 months), with preoperative evaluation at T0. Morphological changes were assessed through standardized photography, measuring brow, eyelid, and canthal positions. Psychological outcomes were assessed using the Social Appearance Anxiety Scale (SAAS). Patient satisfaction was recorded at final follow-up.</p><p><strong>Results: </strong>Of the 64 patients, 49 (98 eyes) completed all follow-ups (mean follow-up: 7.5 months; follow-up rate: 76.56%). Significant improvements were observed in all morphological indices and SAAS scores postoperatively (<i>P</i> < 0.05). No postoperative complications occurred. At final follow-up, 71.43% of patients were extremely satisfied, 22.45% satisfied, and 6.12% neutral-yielding a 93.88% overall satisfaction rate.</p><p><strong>Conclusion: </strong>Sub-brow blepharoplasty significantly improves eyebrow position, facial aesthetics, and reduces social appearance anxiety with high patient satisfaction and minimal risk.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1658806"},"PeriodicalIF":1.6000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500621/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fsurg.2025.1658806","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Periorbital aging commonly presents with upper eyelid laxity and brow descent. Sub-brow blepharoplasty is a promising surgical intervention to address these concerns. This study aimed to evaluate both morphological and psychological outcomes of sub-brow blepharoplasty in a Chinese population.
Methods: Sixty-four patients undergoing sub-brow blepharoplasty at the Plastic Surgery Department of Guizhou Medical University (January 2022-October 2023) were enrolled. All surgeries were performed by the same surgeon. Standardized follow-ups occurred postoperatively at T1 (immediately), T2 (1 month), and T3 (6 months), with preoperative evaluation at T0. Morphological changes were assessed through standardized photography, measuring brow, eyelid, and canthal positions. Psychological outcomes were assessed using the Social Appearance Anxiety Scale (SAAS). Patient satisfaction was recorded at final follow-up.
Results: Of the 64 patients, 49 (98 eyes) completed all follow-ups (mean follow-up: 7.5 months; follow-up rate: 76.56%). Significant improvements were observed in all morphological indices and SAAS scores postoperatively (P < 0.05). No postoperative complications occurred. At final follow-up, 71.43% of patients were extremely satisfied, 22.45% satisfied, and 6.12% neutral-yielding a 93.88% overall satisfaction rate.
Conclusion: Sub-brow blepharoplasty significantly improves eyebrow position, facial aesthetics, and reduces social appearance anxiety with high patient satisfaction and minimal risk.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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