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Facial Plast Surg 2021; 37(03): 333-339
DOI: 10.1055/s-0041-1722908
Original Research

Routine Postoperative Management of Blepharoplasty: A Review of Current Evidence-Based Practice

Mohsan Malik 
1   Department of Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
,
Eamon Shamil
2   Department of Otolaryngology and Facial Plastic Surgery, University Hospital Lewisham, London, United Kingdom of Great Britain and Northern Ireland
,
Alwyn Ray D'Souza
3   Department of Otolaryngology, Lewisham and Greenwich NHS Trust, London, United Kingdom of Great Britain and Northern Ireland
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Funding None.
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Abstract

Advances in blepharoplasty have resulted in an improved understanding of preoperative risk factors, intraoperative hemostasis, and wound closure. This has reduced the risk of severe adverse events. The aim of this review is to determine the current evidence base for routine postblepharoplasty management. A literature review was performed using MEDLINE, PUBMED, and EMBASE databases. Expanded search criterion “bleph*” was combined with individual terms assessing postoperative management. Articles were assessed and qualified as per Oxford Centre of Evidence-Based Medicine levels 1 to 5 (1 = highest level of evidence). A total of 47 unique articles matched our search strategy. Most articles were a description of individual expert opinion, surveys of practice, or case series (level 4–5 evidence). Few randomized controlled trials were performed (level 2). Many articles describe the clinical experience of senior facial plastic surgeons. Our review found some evidence for postoperative cooling and preincision antisepsis to be effective. This review highlights the need for higher-quality studies to improve the evidence base for routine postoperative management.

Keywords

blepharoplasty - evidence-based review - postoperative care

Ethical Approval

Ethical approval was not sought as it was not required for this study.


Note

All authors and coauthors have contributed to the significant part of the article and, therefore, have taken part in writing the article, reviewing it, and revising its intellectual and technical content. All authors take responsibility and accountability for the results.




Publication History

Article published online:
24 February 2021

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