Supplemental Table 1: Current Trends in Upper and Lower Blepharoplasty
1. On average, how many blepharoplasty procedures do you perform in a year?
Upper Lower Four lid
2. What percentage of cases are performed under:
Local anesthesia only MAC anesthesia General anesthesia
3. What percentage of your cases are:
Functional for visual field improvement Purely asthetic
4. Do you prescribe postoperative ocular antibiotic ointment?
No Yes
If yes, what is preferred ointment?
5. Do you prescribe postoperative oral antibiotics?
No Yes
If yes, what is the preferred antibiotic?
6. Do you mark patients in the preoperative area?
Yes No
7. If you mark patients preoperatively, what position are they in?
Sitting Supine
8. How often do you excise muscle during upper lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
9. How often do you excise fat during upper lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
10. If you excise fat for upper lid blepharoplasty, which fat pads do you remove?
Nasal Central
Do you resect both?
11. Do you reposition upper lid fat in certain cases?
Yes No
12. What do you do with prolapsed lacrimal glands? (check all that apply) Partially resect it
Suture suspend it into the fossa Nothing
13. Do you perform adjunctive internal brow suspension when doing upper lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
14. What postoperative day do you first see patients after surgery?
15. After how many months do you take your postoperative photos?
16. Do you every perform fat grafting to the upper lid/brows?
Never Sometimes
If sometimes, what percentage of the time?
17. What percentage of the time do you use:
Transconjunctival approach Transcutaneous approach
Both transconjunctival and transcutaneous 18. How often do you excise muscle in lower lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
19. Do you plicate or imbricate orbicularis muscle during lower lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
20. How often do you excise fat in lower lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
21. If you excise fat, which fat pads do you remove? (check all that apply) Nasal
Central Lateral
22. Do you reposition fat during lower lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
23. If you reposition fat, which plane do you do it in?
Subperiosteal plane Supraperiosteal plane
24. Do you excise skin during lower lid blepharoplasty?
Never Sometimes
If sometimes, what percentage of the time?
25. If you excise skin, what percentage of the time do you do it:
As a muscle flap By skin pinch
By raising a skin flap only
26. Do you perform chemical peels to improve lower lid skin
appearance/quality?
Never Sometimes
If sometimes, what percentage of the time?
27. Do you perform laser peels to improve lower lid skin
appearance/quality?
Never Sometimes
If sometimes, what percentage of the time?
28. Do you perform canthal suspension?
Never Sometimes
If sometimes, what percentage of the time?
29. If you do resuspend the canthus, which technique do you use? (check all that apply)
Open canthopexy Open canthoplasty
Closed canthal suspension (no canthotomy)
30. If you perform canthoplasty do you shorten the tarsus?
Never Sometimes
If sometimes, what percentage of the time?
31. Do you close the transconjunctival incision?
No Yes
If yes, with what suture?
32. If you make a transconjunctival incision, how do you make the incision?
Electro-cautery (ie – bovie) Scissors
Scalpel
Other (please specify)
33. What postoperative day do you first see patients after lower lid
blepharoplasty?
34. After how many months do you take your postoperative photos?
