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ChatGPT as a Postoperative Tool Following Lower Lid Blepharoplasty
Llwyatt K Hofer1, Lauren K Hofer1, Nick W Nakasian1
1Central Ohio Eye and Plastic Surgery, Eye Center of Columbus.
Ophthalmic Plastic and Reconstructive Surgery
|December 31, 2025
Summary
Large language models like ChatGPT-4 show promise in managing lower lid blepharoplasty recovery, offering accurate and appropriate advice. Further development is needed to ensure AI reliability in patient care.
Area of Science:
- Ophthalmology
- Artificial Intelligence
- Medical Informatics
Background:
- Lower lid blepharoplasty is a common cosmetic procedure.
- Effective postoperative management is crucial for patient recovery and satisfaction.
- The integration of artificial intelligence (AI) in healthcare offers new avenues for patient support.
Purpose of the Study:
- To evaluate the accuracy and appropriateness of ChatGPT-4's responses to common postoperative concerns after lower lid blepharoplasty.
- To assess the readability, understandability, and actionability of AI-generated patient information.
Main Methods:
- A cross-sectional study design was used.
- ChatGPT-4 responses to 6 common postoperative issues were evaluated by 12 ophthalmic plastic surgeons.
- Responses were graded for clinical accuracy and management appropriateness.
- Readability (Flesch scores) and patient education material quality (PEMAT) were assessed.
Main Results:
- ChatGPT-4 responses received high average accuracy grades (4.50/5) and appropriate management recommendations (75-100%).
- Readability scores indicated a challenging reading level (grades 9.4-13.4).
- Understandability scores were high (91.67%), but actionability scores were moderate (60%).
Conclusions:
- ChatGPT-4 demonstrates potential as a supportive tool in lower lid blepharoplasty postoperative care.
- AI-generated content requires further refinement for clinical reliability and patient actionability.
- Physician oversight is essential for developing safe and effective medical AI tools.

