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The comparative study of pre and post-surgical experience, self-esteem, self-confidence, body image, in patients undergoing blepharoplasty surgery


Introduction: Cosmetic surgery is one of the human’s latest achievements for creating beauty; blepharoplasty surgery is one of its kinds. Psychological issues such as self-esteem, self-confidence, body image are closely related to blepharoplasty surgery. The present study aimed at studying the above-mentioned psychological issues both before and after the surgery as well as comparing real expectations and experiences of some post-surgical complications.

Materials and Methods: In a quasi-experimental study, 60 participants were selected using purposive sampling. The data collection tool of the present study was five questionnaires including demographic questionnaire, Rosenberg self-esteem scale, self-confidence questionnaire, body image questionnaire, and experiences of post-surgical complications questionnaire. The data was classified both qualitatively and quantitatively. The data were analyzed using SPSS 22.

Findings: The findings indicated that blepharoplasty surgery did not result in post-surgical self-esteem (p=0.312) and self-confidence (p=0.251). However, the patients’ post-surgical body image increased (p=0.001). There was a positive correlation between pre and post-surgical self-esteem, self-confidence, and body image (0/4> r >0/5). Given the post-surgical complications such as pain, bruising, swelling, blurred vision, itching, inability to perform daily activities, and number of painkillers taken (p=0.05), the patients’ real experiences were by far less than their speculations. 


  1. Dehdari Tahere, Khanipour Arezzo, Khazyr Zahra, Dehdari laleh. Predict the intention of having cosmetic surgery on female students on the structures of the theory of reasoned action. Journal of Military Care - Nursing Faculty of the Islamic Republic of Iran.2014: 1)2(: 109 – 115.
  2. Breuning EE, Oikonomou D, Singh P, Rai JK, Mendonca DA. Cosmetic surgery in the NHS: Applying local and national guidelines. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2010. 63: 42 - 1437.
  3. Solvi AS, Foss K, Soestc TV. Motivational factors and psychological processes in cosmetic breast augmentation surgery. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2010. 63: 80 - 673.
  4. Cash Thomas. The Body Image Work Book: an 8 step program for learning to like your boos. J.Mental Health. 2010: (8): 198.
  5. Atkinson and Hylgard the field of Psychology (Volume II). Translation Ganji Mehdi. Savalan publishing. 2011: 1: 75 – 236.
  6. Leary Mark R, Tangney June Price. Handbook of self and Identity .The Guilford Press A Division of Guilford Publications. 2012: (2): 69 – 104.
  7. Hosogi Mizuho, Okada Ayumi, Fujii Chikako, Noguchi Keizou, Watanabe Kumi. Importance and usefulness of evaluating self-esteem in children. Bio Psychosocial Medicine. 2012. 6(9):1- 6.
  8. Giddens Anthony. Principles of Sociology. Translation Chavoshian Hassan, Nae Publishing. 2012: 230 – 245.
  9. Holds John Bryan , Chang Warren J , Durairaj Vikram D , Foster Jill Annette , Gausas Roberta E , Harrison Andrew R , Hartstein Morris E , Fante Robert G . Orbit, Eyelids, and Lacrimal System. AMERICAN ACADEMY OF OPHTHALMOLOGY. Section 7. 2013. P: 116, 222, 223, 224, 225& 226.
  10. Brunner and Suddarth’s. Operating room nursing. Translation Khachiyan Alice, publication salemie. 2014. 4 (4): 66.
  11. Schwarcz Robert M, Kotlus Brett. Complications of lower blepharoplasty and midface lifting. Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, Clinics in plastic surgery. 2015. 42: 63-71.
  12. Neligan Peter, Warren Richard, Van Beek Allen, Few Jules, Ellis Marco. Tex Book PLASTIC SURGERY. ELSEVIER SAUNDERS. 2013. (2):108.
  13. Parbhu Keshini, Hawthorne Kristen, McGwin Gerald, Vicinanzo Matthew, Long John. Patient experience with blepharoplasty. Ophthalmic Plastic & Reconstructive Surgery. 2011. 27(3):152-154.
  14. Brunicardi Charles, Andersen Dana K, Billiar Timothy, Dunn David, Hunrer John, Matthews Jeffrey, Pollock Raphael. TEXT BOOK OF SCHWARTZ’S. McGraw-Hill books. 2010: 1674.
  15. Lieberman DM, Quatela VC. Upper lid blepharoplasty: a current perspective. Clinics in plastic surgery. 2013. 40:157-165.
  16. Townsend jr, Courtney M, Beauchamp Daniel, Evers Mark, Mattox Kenneth L. SABISTON TEXT BOOK OF SURGERY: THE BIOLOGICAL BASIS OF MODERN SURGICAL PRACTICE. Published by ELSEVIER. Chapter 69, Plastic Surgery. 2012: (19):1929.
  17. Sarwer DB, Wadden TA, Moore RH. Changes in quality of life and body image after gastric bypass surgery. Surg Obes Relat Dis. 2010. 6: 14- 608.
  18. Balali Ismail, Afshar Kohan Javad. Beauty and money: Makeup and Surgery. Publication of Strategic Studies Women Cultural and Social Council of Women Quarterly. 2010: 12( 47): 99 - 140.
  19. International Survey on Aesthetic / Cosmetic Plastic Surgery.(2015).
  20. American Society of Plastic Surgeons .(2014).
  21. American Society of Plastic Surgeons . (2015).
  22. Fansa H, Haller S. Patient’s decision for aesthetic surgery. Handchir Mikrochir Plast Chir. Dec . 2011.43(6) : 368-75.
  23. Golshani S, Mani A, Toubaei S, Farnia V, Sepehry AA, Alikhani M. Personality and psychological aspects of cosmetic surgery. Aesthetic plastic surgery. 2016 . 40 (1). 38 – 47.
  24. Slevec Julie , Tiggemann Marika. Attitudes Toward Cosmetic Surgery in Middle – Aged Women: Body Image, Aging Anxiety and the Media. American Psychological Association. Wiley Periodicals, Inc. Printed in the USA. Psychology of Women Quarterly. 2010.35. 65 – 74.
  25. Minoosepehr Sepideh, Nikoogoftar Mansooreh, Sarami Foroushani Gholamreza. Predictors of Tendency Toward Cosmetic Surgery: Media Influences, Appearance Perfectionism and Investment. PRACTICE in CLINICAL PSYCHOLOGY. 2014. 2(4). 263- 270.
  26. Tavassoly GA , Modiri F. Women tend to perform cosmetic surgery in Tehran. Journal of Social Studies of Psychology of Women .2012.10(1): 61-82.
  27. Pires Viana Giovanni Andre´, Osaki Midori Hentona , Nishi Mauro. Effect of Lower Blepharoplasty on Self-Esteem. American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals. 2010. 36(8). 1266 -1272.
  28. Sabino NM, Dematte MF, Freire M, Garcia EB, Quaresma M, Ferreira LM. Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J. 2008; 28(4): 417-20.
  29. Yin Zhuming, Wang Dafang, Ma Yan, Hao Shuwei, Ren Huiwen, Zhang Tingting, Chen Wenlin, Fan Jincai. Self-esteem, Self-efficacy, and Appearance Assessment of Young Female Patients Undergoing Facial Cosmetic Surgery A Comparative Study of the Chinese Population. Published online. American Medical Association .JAMA Facial Plast Surg. 2016.18(1);20 – 26.
  30. Kalantar-Hormozi Abdoljalil , Jamali Ramin , Atari Mohammad. Interest in cosmetic surgery among Iranian women: the role of self-esteem, narcissism, and self-perceived attractiveness. Published online .Springer-Verlag Berlin Heidelberg. Eur J Plast Surg. 2016. 1- 6.
  31. Swami V, Chamorro-Premuzic T, Bridges S, Furnham A . Acceptance of cosmetic surgery: personality and individual difference predictors. Body Image. 2009. 6:7–13
  32. Rustemeyer Jan, Gregersen Johanne. Quality of Life in orthognathic surgery patients: Post-surgical improvements in aesthetics and self-confidence. European Association for Journal of Cranio-Maxillo-Facial Surgery. Published by Elsevier . 2012. 40. 400 - 404.
  33. Von Soest T, Kvalem I.L, Roald H.E, Skolleborg K.C. The effects of cosmetic surgery on body image, self-esteem, and psychological problems . British Association of Plastic, Reconstructive and Aesthetic Surgeons.Published by Elsevier. 2009. 62. 1238-1244.
  34. Kamburoğlu HO, Ozgür F. Postoperative satisfaction and the patient's body image, life satisfaction, and self-esteem: a retrospective study comparing adolescent girls and boys after cosmetic surgery. Aesthetic Plast Surg .2007. 31: 739-45.
  35. Cingi C, Songu M, Bal C. Outcomes research in rhinoplasty: body image and quality of life. Am J Rhinol Allergy .2011. 25(4): 263-267.
  36. Sarwer DB, Infield AL, Baker JL, Casas LA, Glat PM, Gold AH, et al. Two-year results of a prospective, multi-site investigation of patient satisfaction and psychosocial status following cosmetic surgery. Aesthet Surg J.2008.28(3): 245-50.
  37. Pecorari G , Gramaglia C, Garzaro M, Abbate-Daga G, Cavallo GP, Giordano C. Self-esteem and personality in subjects with and without body dysmorphic disorder traits undergoing cosmetic rhinoplasty: preliminary data. J Plast Reconstr Aesthet Surg . 2010. 63(3). 493-8.
  38. Zamani N, Fazilatpour M. Negative impact of rhinoplasty on self-esteem and self-image. Journal of Kerman University of Medical Sciences. 2013. 20(5) :492-504.
  39. Samadzadeh S, Abbasi M, Shahbazzadegan B. Survey of relationship between body image and mental health among applicants for rhinoplasty before and after surgery. Procedia-Social and Behavioral Sciences .2011. 30: 2253-8.
  40. Bani-Asadi , Hassan. Rhinoplasty impact on the image of women. Journal of Skin and beauty magazine. 2012. 3(4). 194 - 201.
  41. Bleidorn Wiebke, Arslan Ruben C, Denissen Jaap J. A, Rentfrow Peter J, Gebauer Jochen E, Potter Jeff, Gosling Samuel D. (2015). Age and Gender Differences in Self-Esteem—A Cross- Cultural Window. Online First Publication. American Psychological Association. Journal of Personality and Social Psychology. pp: 1-16.
  43. Mizuno T. Two modified techniques to decrease complications of buried suture double-eyelid blepharoplasty. Journal of Plastic, Reconstructive & Aesthetic Surgery. Published by Elsevier. 2012 . 66 : 95-100.
  44. Hassanpour Ismail, Khajouie Kermani Hooman . Eyebrows drooping upper eyelid in 70 patients after surgery. Journal of Cosmetic and Plastic Surgery Beheshti University of Medical Sciences. 2016. 1(5): 58 – 61.

How to Cite

Bashizadeh, M., Moghadam, F. A., Sahebalzamani, M., & Farahani, H. (2018). The comparative study of pre and post-surgical experience, self-esteem, self-confidence, body image, in patients undergoing blepharoplasty surgery. Bali Medical Journal, 7(1), 104–113.




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Melissa Bashizadeh
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Farhad Adhami Moghadam
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Mohammad Sahebalzamani
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Hojjatollah Farahani
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