Patient-centered communication in cosmetic eyelid surgery consultations in China: an observational transcript-based E5 study.

In this high-volume tertiary public oculoplastic service in Shanghai, consultations were strongly information-delivery-oriented but minimally participatory, with clinician talk effectively setting the aesthetic agenda.

To better align practice with patient-centered care and shared decision-making, services should streamline repetitive explanations (e.g., via reusable visual/digital materials) and protect brief, observable elicitation and enlistment moments within the visit so that patient values can actively shape the surgical plan.