Abstract
Objective
To evaluate perceptions of blade- versus laser-based blepharoplasty before and after
being provided educational information.
Design/Participants/Methods
This interventional pre–post study included 145 randomly selected participants (Maisonneuve-Rosemont
Hospital, Montreal, Canada, August 2020) who were asked about their perceptions surrounding
blepharoplasty. Participants then received information about the techniques before
answering final questions.
Results
Participants perceived no difference in outcomes for blade (37%) versus laser (40%)
blepharoplasty precounselling. This increased to laser blepharoplasty postintervention
(56%, p < 0.001) despite being told that there was no difference in outcomes. The higher
the level of education among participants, the more likely they were to correctly
believe that both techniques had similar outcomes (p = 0.049). Most participants would choose laser blepharoplasty initially (64%), and
this percentage increased postintervention (81%, p < 0.001). The preintervention perception of blade blepharoplasty recovery time (20.1
± 32.6 days) was longer than that for laser blepharoplasty (13.5 ± 32.0 days, p = 0.01) and increased for both techniques postintervention (p < 0.001). Perceived pain was lower for laser blepharoplasty. Postintervention, participants
responded that additional costs of ($975 ± $1,091) would justify laser over blade
blepharoplasty.
Conclusion
Elucidating patient perceptions and preferences for blade- versus laser-based blepharoplasty
provides surgeons with perspective on how to tailor preoperative counselling. Before
and after the intervention, participants had a bias toward choosing laser blepharoplasty.
The intervention seems to falsely convince people that laser blepharoplasty leads
to better outcomes. Because the doctor's advice can greatly impact patients’ decisions,
physicians have to be careful not to give false expectations when counselling patients.
Inaccurate recall of key educational takeaways suggests that information should be
vulgarized and delivered actively to patients.
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Article Info
Publication History
Published online: April 06, 2022
Accepted:
March 13,
2022
Received:
January 25,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
