Validating Facial Aesthetic Surgery Results with the FACE-Q

ace lifts are among the most common operations for facial aging and perhaps the procedure most synonymous with plastic surgery in the minds of the lay public. Nearly 130,000 face lifts were performed in the United States last year. 1 A limited number of studies have attempted to assess patient outcomes after face lifting, 2,3 but the lack of a standardized outcome tool has made assessment of patient satisfaction difficult. Recently, the FACE-Q has been established as a validated tool for evaluating patient satisfaction and outcomes in aesthetic facial surgery. 4-10 Our goal was to use a validated questionnaire to assess patient-reported satisfaction after face lifting. PATIENTS AND METHODS One hundred five patients undergoing a face lift between 2011 and 2014 performed by the senior author (C.H.T.) using a high, extended superficial musculoaponeurotic system (SMAS) technique with submental dissection and platysmaplasty were asked to complete, anonymously, the FACE-Q following the procedure. The FACE-Q is a new patient-reported outcome instrument composed of numerous independently functioning scales designed to measure outcomes among facial aesthetic patients. 4-11 Patients were asked to complete the following FACE-Q scales: 1. Satisfaction with Facial Appearance Overall: Measures patient satisfaction with the overall appearance of their face. 2. Social Function: Has a series of positively worded statements that measure social confidence. 3. Psychological Well-being: Measures psychological well-being in terms of a series of positively worded statements.

Archives of Facial Plastic Surgery, 2001

To test 4 previously published outcomes instruments (the Facelift Outcomes Evaluation, the Rhinoplasty Outcomes Evaluation, the Blepharoplasty Outcomes Evaluation, and the Skin Rejuvenation Outcomes Evaluation) in terms of their reliability and validity in assessing patient-related outcomes of surgical intervention. Design: A prospective pilot study of 78 patients in 3 similar private cosmetic surgery centers undergoing a total of 100 face-lift, rhinoplasty, blepharoplasty, and skin rejuvenation procedures. Patients were evaluated at 2 preoperative and 1 postoperative time points and the instruments were analyzed with regard to their test-retest reliability, internal consistency, and responsiveness to change.

Archives of Facial Plastic Surgery, 2008

To assess perioperative quality-of-life (QOL) changes in a facial plastic surgery patient population and to ascertain factors determinative of QOL changes. A notable paucity of objective scientific measurements of QOL exists within the facial plastic surgery literature. Methods: A 3-year prospective cohort study. The patient population, which comprised a consecutive series of patients 16 years or older, undergoing cosmetic nasal or facial surgery, was obtained from the senior author's (P.A.A.) private surgical practice. All patients presenting for surgery were offered participation. The main outcome measure was the 59-item Derriford Appearance Scale (DAS59), a valid and reliable instrument assessing psychological distress associated with self-consciousness of facial appearance. Three patient score subgroupings were established: group 1, the DAS59 scores for all patients; group 2, the DAS59 score according to sex; and group 3, the DAS59 score according to the main surgical procedure. Surveys were administered to eligible patients at the final preoperative clinic visit and at 3 months after surgery. Data from the casecontrol groups were analyzed by a blinded statistician with appropriate t tests.

Journal of cosmetic dermatology, 2016

Physicians face the challenge of individualizing aesthetic treatments in order to match the aesthetic needs of patients with their expectations. To review issues underlying patient satisfaction with minimally invasive aesthetic treatment and to present a patient-centric assessment tool (the Global Ranking Scale [GRS]) designed to set higher standards for patient consultation and treatment experience; ensure a comprehensive patient-centric aesthetic consultation process; and raise patient satisfaction with facial rejuvenation treatment. A review of the design and content of the GRS and its use as part of the wider Galderma Harmony Program. Results of a small survey of clinicians who have switched to the GRS, and case studies of patients who have used the tool, are also presented. The GRS is used in ~500 clinics around the world. In a small survey, physicians who have used the GRS report that it has changed the way that patients are assessed and treated. While no patient survey was co...

Indian Journal of Surgery, 2014

The aim of the present prospective and descriptive study was to assess the impact of facial aesthetic and reconstructive surgeries on quality of life. Ninety-one patients, of whom 43 had aesthetic surgery and 48 had reconstructive surgery, were analysed. The data were collected using the patient information form, body cathexis scale, and short form (SF)-36 quality of life scale. There were significant differences between before and after the surgery in both groups in terms of body cathexis scale and quality of life (p<0.05 for both). It was observed that problems regarding the body image perception were encountered more, and the quality of life was poorer in both aesthetic and reconstructive surgery patients before the surgery. However, the problems were decreased, and the quality of life was enhanced after the surgery. Among the parameters of SF-36 quality of life scale, particularly the mean scores of social functioning, physical role functioning, emotional role functioning, mental health, and vitality/fatigue were found low before the surgery, whereas the mean scores were significantly improved after the surgery. The results revealed that facial aesthetic and reconstructive surgical interventions favourably affected the body image perception and self-esteem and that positive reflections in emotional, social, and mental aspects were effective in enhancing selfconfidence and quality of life of the individual.

Plastic and Reconstructive Surgery - Global Open, 2019

BACKGROUND Over 5 million basal and squamous cell skin cancers are diagnosed in the United States each year. 1,2 Seventy to 80% of these cancers occur in the head and neck region, for which surgical excision is the standard of treatment. 3 Diagnosis and treatment can be stressful for patients and families, affecting psychosocial well-being, social interactions, and other aspects of health-related quality of life. 4,5 In addition, treatment of facial skin cancers can result in scars or physical disfigurement, which are particularly distressing. 6 Patients are concerned about changes in their facial appearance following reconstruction and desire meaningful data to help them better understand expected outcomes. 4,5,7 As patient satisfaction and quality of life are among the most important outcomes in plastic and reconstructive surgery, 5,8 understanding patient perceptions of aesthetic postoperative outcomes is critical. 9-11 Patient-reported outcome measures (PROMs) are questionnaires developed with direct input from patients.

Plastic and Reconstructive Surgery, 2009

Purpose Dermatologic adverse events (dAEs) in cancer treatment are frequent with the use of targeted therapies. These dAEs have been shown to have significant impact on health-related quality of life (HRQoL). While standardized assessment tools have been developed for physicians to assess severity of dAEs, there is a discord between objective and subjective measures. The identification of patient-reported outcome (PRO) instruments useful in the context of targeted cancer therapies is therefore important in both the clinical and research settings for the overall evaluation of dAEs and their impact on HRQoL. Methods A comprehensive, systematic literature search of published articles was conducted by two independent reviewers in order to identify PRO instruments previously utilized in patient populations with dAEs from targeted cancer therapies. The identified PRO instruments were studied to determine which HRQoL issues relevant to dAEs were addressed, as well as the process of development and validation of these instruments. Results Thirteen articles identifying six PRO instruments met the inclusion criteria. Four instruments were general dermatology (Skindex-16©, Skindex-29©, Dermatology Life Quality Index (DLQI), and DIELH-24) and two were symptom-specific (functional assessment of cancer therapy-epidermal growth factor receptor inhibitor-18 (FACT-EGFRI-18) and hand-foot syndrome 14 (HFS-14)).

Journal of Cosmetic Dermatology, 2018

Background: Quality of life can be impaired by health conditions that modify body appearance. Aims: The objective of this cross-sectional study was to evaluate the quality of life of patients before and after free-of-charge esthetic dermatological treatments offered in a philanthropic Dermatological Clinic for nonpathological conditions, such as anti-aging procedures. Methods: All consecutive patients admitted between March and November 2016 were recruited. All esthetic treatments in this study were simple procedures applied in one session only, on the face, neck, arms, and upper chest, with a consult visit scheduled four weeks later for clinical evaluation. The WHOQOL-BREF instrument was used before and one month after the procedure. Results: WHOQOL-BREF scores increased significantly after treatment (P < 0.001) in all the domains. Conclusion: Patients undergoing simple dermatological treatments applied by specialists report overall and specific domain improvements in quality of life, according to the World Health Organization instrument, regardless of the type of procedure.

Aesthetic Plastic Surgery

Introduction In the past decade there has been an increasing interest in the field of patient-reported outcome measures (PROMs) which are now commonly used alongside traditional outcome measures, such as morbidity and mortality. Since the FACE-Q Aesthetic development in 2010, it has been widely used in clinical practice and research, measuring the quality of life and patient satisfaction. It quantifies the impact and change across different aspects of cosmetic facial surgery and minimally invasive treatments. We review how researchers have utilized the FACE-Q Aesthetic module to date, and aim to understand better whether and how it has enhanced our understanding and practice of aesthetic facial procedures. Methods We performed a systematic search of the literature. Publications that used the FACE-Q Aesthetic module to evaluate patient outcomes were included. Publications about the development of PROMs or modifications of the FACE-Q Aesthetic, translation or validation studies of the...

The American Journal of Cosmetic Surgery, 1999

Introduction: The literature on face-lifting over its history varies from simple to complex. It can be difficult to determine which technique is best for each individual patient. We collected a series sufficiently large to show valid conclusions up to 6 years postoperatively. Materials and Methods: Between January 1987 and January 1997, 348 female and 26 male patients underwent facelifting. Based on complexity of the procedure, the cases were stratified into 5 groups. Group A had limited skin undermining out to 5 em, with submuscular aponeurotic system (SMAS) plication (21 patients). Group B had longer skin flaps with undermining out to 10 cm, with SMAS plication (27 patients). Group C had skin undermining out to 7-8 em and sub-SMAS dissection to the anterior border of the parotid, with myofascial imbrication (136 patients). Group D had skin undermining and sub-SMAS dissection to the caudal limit of the melolabial groove and mandibular ligament and for 7-8 em below the platysma, with myofascial imbrication (153 patients). Group E had composite lifts according to Hamra (37 patients). At 2 and 6 years' follow-up, patients were evaluated in a blinded fashion with direct observation by 2 nurses and with photographic comparisons made by 3 independent surgeons. Results: Two-year follow-up evaluations were performed for 189 patients. Six-year follow-up evaluations were performed for 128 patients. At 2 years, the degree of improvement tended to favor the more complex techniques, and at 6 years, it definitely favored the more complex techniques. Complications were: 10 hematomas, evenly distributed among the groups; 13 cases of temporary facial nerve weakness, with a higher percentage in groups D and E; 4 skin sloughs, 1 for group Band 3 for group D; and no infections. Discussion: While some patients can obtain satisfactory results with skin undermining and SMAS plication, the majority of our patients enjoyed longer-lasting results with more complex face-lifts, encompassing SMAS dissection and imbrication. T her~are. p~opon~nts of~ultiple techniques and their vanauons III face-lift procedures.l:' Some procedures are only marginally different from each other. The operative designs can be divided into three