en تخصصي Special مقالات اصيل Original Article <p><strong>BACKGROUND</strong><br> Due to various options for tissue resection and preoperative markings, many different reports on aesthetics and patient&rsquo;s satisfaction exist. To assess differences among tissue resections and risk factors, we herein analyzed satisfaction levels of patients that underwent upper blepharoplasty.<br> <strong>METHODS</strong><br> A retrospective analysis during the period from January 2006 to June 2013 was conducted by reviewing patient&rsquo;s electronic medical files. All patients underwent medically indicated upper blepharoplasty at our department. We classified patients relating to resected tissues; hence the categories created were skin, skin/muscle, skin/muscle/fat and skin/fat. Furthermore, an evaluation of risk factors according to the patient&rsquo;s number of present medical preconditions ranging from 0 (none) to 4 was performed. Data collection was conducted by reviewing patient&rsquo;s electronic medical files. Moreover, a questionnaire concerning patient&rsquo;s satisfaction was forwarded.<br> <strong>RESULTS</strong><br> No significant differences in patient&rsquo;s satisfaction and complication rates comparing the different groups of tissue resection were noted. However, we found a significantly higher complication rate at a presence of 2 risk factors. In addition, a significantly worse scar outcome and longer recovery periods in patients with 4 risk factors were observed.<br> <strong>CONCLUSION</strong><br> The extent of tissue resection has no statistically quantifiable effect on patient&rsquo;s satisfaction ratings and complications. For this reason, we believe cautious resection of muscle and fat is only indicated if pathologies are present. Moreover, patients with 2 risk factors or more shall be rigorously evaluated preoperatively to avoid complicating events.<br> An abbreviated form of this manuscript was presented at the conjoint 52^nd and 45^th annual meeting of the Austrian and German Society of Plastic, Aesthetic and Reconstructive Surgery, September 11^th-13^th 2014 in Munich, Germany.</p> Blepharoplasty, Satisfaction, Complication, Rejuvenation 324 331 http://wjps.ir/browse.php?a_code=A-10-140-2&slc_lang=en&sid=1 Ali A Saalabian drsaalabian@gmail.com 10031947532846004167 10031947532846004167 No Krankenanstalt Rudolfstiftung Wien - Department of Plastic, Reconstructive and Aesthetic Surgery Paul Liebmann paulliebmann@hotmail.com 10031947532846004168 10031947532846004168 Yes Krankenanstalt Rudolfstiftung Wien - Department of Plastic, Reconstructive and Aesthetic Surgery Maria Deutinger maria@deutinger.at 10031947532846004169 10031947532846004169 No Krankenanstalt Rudolfstiftung Wien - Department of Plastic, Reconstructive and Aesthetic Surgery