Key Takeaways
- Functional concerns were the primary reason for seeking blepharoplasty, with relatively few patients motivated by cosmetic factors alone.
- Most patients expected meaningful improvement after surgery, though safety and maintaining a natural appearance were common concerns.
- Social media had limited overall influence but was linked to greater uncertainty, particularly among younger and male patients.
Most individuals considering blepharoplasty cite functional concerns as their main motivation, while social media appears to have a limited yet somewhat uncertain influence on decision-making, according to a cross-sectional survey of 60 adults.
Participants most commonly cited functional necessity as the reason for pursuing surgery (48.3%). Only 16.7% reported purely cosmetic motivations. Motivations differed by sex, with women more likely to report aesthetic concerns (27.6%) and men more likely to cite a combination of functional and cosmetic reasons (48.4%; P = 0.024).
Expectations for surgery were generally positive. Nearly half of respondents (48.3%) anticipated improvement in their visual field, and 60.0% expected to feel “much better” after the procedure. The most frequently reported concerns were safety (45.0%) and the risk of losing a natural appearance (25.0%).
Although 68.3% of participants reported no indecision about proceeding with surgery, approximately one-third expressed some level of hesitation. Logistic regression analysis identified male sex, younger age, and social media influence as independent predictors of decisional indecision (P < 0.05).
Reference
Kesimal B, Kocamış Sİ. Motivations, Concerns, and the Role of Social Media in Upper Blepharoplasty Candidates: A Cross-Sectional Survey. Aesthetic Plast Surg. 2026;doi: 10.1007/s00266-026-05821-3. Epub ahead of print. PMID: 41954640.
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