Abstract: Objective To investigate the psychological state and other factors that influence patients who request single-lid repair after blepharoplasty. Methods Patients who requested single-lid repair after blepharoplasty were selected for the study. Basic information was collected, and some patients were surveyed using the self-rated body image scale and the Eysenck Personality Questionnaire. The data were statistically analyzed using SPSS 26.0 software. Results Of the 38 patients who requested single-lid repair after blepharoplasty, body image disorder was detected in 23.68%. The key psychological factors influencing body image in these patients were the number of previous surgeries(P=0.022)and chief complaints(P=0.008). The raw scores of the N and P scales in the Eysenck Personality Questionnaire were higher than the national norms, and the differences were statistically significant(P=0.011, P=0.025). Based on the Eysenck Personality Questionnaire, 31.58% of the patients were predominantly depressive in personality. Moreover, the body image psychology of patients who requested monolithic lid repair after blepharoplasty was positively correlated with the N scale(r=0.663, P<0.01)and negatively correlated with the L scale(r=-0.320, P<0.05). Conclusion The incidence of body image disturbance in patients who requested single-lid repair after blepharoplasty was relatively high at 23.68%. The number of previous surgeries and chief complaints were critical factors influencing body image psychology. Neuroticism and psychosis were higher in patients who requested single-lid repair after blepharoplasty than in the general population. The personality trait of these patients was predominantly depressive(introverted-unstable), and their body image psychology was positively correlated with neuroticism(N)and negatively correlated with maskedness(L).

Key words: Blepharoplasty, Body image disorder, Eysenck personality, Psychological profile, Questionnaire