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Public perception of laser-assisted blepharoplasty versus blade-assisted blepharoplasty

  • Anne X. Nguyen
    Affiliations
    Faculty of Medicine, McGill University, Montreal, Quebec, Canada
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  • Victoria C. Leung
    Affiliations
    Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada

    University Centre of Ophthalmology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada
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  • Fares Antaki
    Affiliations
    Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada

    University Centre of Ophthalmology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada
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  • Rafic Antonios
    Affiliations
    Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada

    Beirut Eye and ENT Specialist Hospital, Beirut, Lebanon
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  • Isabelle Hardy
    Affiliations
    Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada

    University Centre of Ophthalmology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada
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  • Patrick R. Boulos
    Correspondence
    Correspondence to Patrick Boulos, MD, Department of Ophthalmology, Université de Montréal, CUO Maisonneuve-Rosemont, 5415 Boulevard de l'Assomption, Montréal, QC, Canada H1T 2M4.
    Affiliations
    Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada

    University Centre of Ophthalmology, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada
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Published:April 06, 2022DOI:https://doi.org/10.1016/j.jcjo.2022.03.006

      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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