EYELID SURGERY DECISION WORKSHEET SurgeryViz | https://www.surgeryviz.com/should-i-get-eyelid-surgery Use this worksheet to record unanswered questions. It does not calculate a candidacy score or tell you whether to have surgery. GOAL CLARITY [ ] What exact change am I hoping to see? [ ] Is my concern cosmetic, functional, or mixed? [ ] What would a good but still realistic result mean to me? [ ] Would I be comfortable choosing no procedure after a consultation? HEALTH AND TIMING [ ] Have I told the clinician about eye symptoms and eye conditions? [ ] Are my medications, smoking or nicotine use, and general health being reviewed? [ ] Can I make room for uncertain recovery time and follow-up? [ ] Is this a stable time to make an elective decision? TRADEOFFS [ ] Which risks matter most for my eyes, health, work, and goals? [ ] What could remain unchanged even after surgery? [ ] How would I feel about asymmetry, scars, prolonged swelling, or revision? [ ] Am I comparing surgery with observation and appropriate alternatives? CONSULTATION QUALITY [ ] Can the clinician explain which structure causes the concern? [ ] Are credentials, facility, anesthesia, and follow-up arrangements clear? [ ] Have I received a written scope and complete price? [ ] Would a second opinion help before I decide? QUESTIONS I STILL NEED ANSWERED 1. 2. 3. 4. 5. IMPORTANT Sudden eyelid drooping, new vision problems, severe eye pain, or other acute symptoms should be evaluated promptly through appropriate medical care rather than an elective planning tool. Educational planning only. SurgeryViz does not diagnose an eyelid condition, recommend a procedure, determine candidacy, interpret a photograph or eye test, or replace medical advice from your own clinician.