The Dysmorphic Concern Questionnaire: Is It Possible to Predict a Satisfactory Result After Cosmetic Eyelid Surgery?

Area of Science:

• Oculofacial Plastic Surgery
• Aesthetic Surgery
• Patient-Reported Outcomes

Background:

• Patient satisfaction is a critical outcome measure in esthetic surgery.
• Predicting patient satisfaction can be challenging for oculofacial surgeons.
• Understanding factors influencing satisfaction is vital for improving surgical outcomes.

Purpose of the Study:

• To identify predictors of patient satisfaction following cosmetic eyelid surgery.
• To analyze the correlation between pre-operative patient characteristics and post-operative satisfaction.
• To investigate the role of the Dysmorphic Concern Questionnaire (DCQ) in predicting satisfaction.

Main Methods:

• Retrospective study of 454 patients undergoing cosmetic eyelid surgery.
• Pre-operative assessment included the Dysmorphic Concern Questionnaire (DCQ).
• Post-operative satisfaction was measured using a 5-point outcome survey; logistic regression analysis was performed.

Main Results:

• A lower DCQ score was significantly associated with patient satisfaction (p=0.007).
• Predictors of satisfaction included upper eyelid blepharoplasty (positive association).
• Predictors of dissatisfaction included increasing age, male gender, and complications (negative association).

Conclusions:

• Upper eyelid blepharoplasty, younger age, female gender, absence of complications, and lower DCQ scores predict higher patient satisfaction.
• The DCQ is a valuable tool for screening body dysmorphic disorder in cosmetic surgery patients.
• Identifying these predictors can help manage patient expectations and improve outcomes in esthetic oculofacial surgery.