Assessing Improvement of Patient Satisfaction Following Facelift Surgery Using the FACE-Q Scales: A Prospective and Multicenter Study
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Assessment of patient satisfaction following an aesthetic surgery has shown an increasing trend over the past years. To date, there is no prospective and comprehensive study evaluating this aspect after surgical facial and neck rejuvenation. The aim of the current work was to address patient satisfaction after face and neck lift surgery using a validated questionnaire.
Patients and Methods
We present a prospective and multicenter study (five regional centers) involving all patients undergoing face and neck lift surgery between April 2015 and April 2017 in several French centers for aesthetic surgery. All subjects assessed the FACE-Q scales before the procedure, and furtherly at 3-month, 6-month and 12-month follow-ups.
Thirty-six patients were included with a median age of 58.5 years old [IQR 54.0–66.0]. The FACE-Q outcomes were significantly higher at 3-month follow-up (p < 0.001). Seventy-five percent of the patients underwent an additional surgical procedure associated with face and neck lift. Particularly, a combined blepharoplasty led to a significant increase in the score of global facial appearance. The patients considered themselves a mean of 6 years younger in the third month after surgery. These results remained constant at six and twelve postoperative months.
A statistically significant improvement of the FACE-Q scores could be highlighted on every scale, with permanent results at 6 and 12 months postsurgery. We hereby present the first study with evidence that appearance and quality of life outcomes can be reliably assessed after rhytidectomy.
Level of Evidence IV
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KeywordsRhytidoplasty Face and neck lift Patient satisfaction FACE-Q Facial rejuvenation
Compliance with ethical standards
Conflict of interest
The authors declare to have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
- 3.U.S. Food and Drug Administration (2009) Guidance for Industry. Patient-reported outcome measures: use in medical product development to support labeling claims. https://www.fda.gov/downloads/drugs/guidances/ucm193282.pdf. Accessed June 1, 2010
- 4.Aaronson N, Alonso J, Burnam A, Lohr KN, Patrick DL, Perrin E et al (2002) Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 11(3):193–205Google Scholar
- 9.Schwitzer JA, Klassen AF, Cano SJ, Baker SB, East C, Pusic AL (2015) Measuring satisfaction with appearance: validation of the FACE-Q scales for the nose, forehead, cheekbones, and chin. Plast Reconstr Surg 136(4 Suppl):140–141Google Scholar
- 13.WHO (World Health Organization). Process of translation and adaptation of instruments. http://www.who.int/substance_abuse/research_tools/translation/en/. Accessed 1 June 2015
- 14.Lexer R. Zur Gestichtsplastik (1910) Arch Klin Chir 92:749Google Scholar
- 15.Skoog T (1974) Plastic surgery: new methods and refinements. WB Saunders, PhiladelphiaGoogle Scholar
- 19.Jacono A, Chastant RP, Dibelius G (2016) Association of patient self-esteem with perceived outcome after face-lift surgery. JAMA Facial Plast Surg 18(1):42–46Google Scholar
- 20.Yin Z, Wang D, Ma Y, Hao S, Ren H, Zhang T et al (2016) Self-esteem, self-efficacy, and appearance assessment of young female patients undergoing facial cosmetic surgery: a comparative study of the chinese population. JAMA Facial Plast Surg 18(1):20–26Google Scholar
- 21.von Soest T, Kvalem IL, Roald HE, Skolleborg KC (2009) The effects of cosmetic surgery on body image, self-esteem, and psychological problems. J Plast Reconstr Aesthet Surg 62(10):1238–1244Google Scholar
- 23.von Soest T, Kvalem IL, Skolleborg KC, Roald HE (2011) Psychosocial changes after cosmetic surgery: a 5-year follow-up study. Plast Reconstr Surg 128(3):765–772Google Scholar
- 25.Zimm AJ, Modabber M, Fernandes V, Karimi K, Adamson PA (2013) Objective assessment of perceived age reversal and improvement in attractiveness after aging face surgery. JAMA. Facial Plast Surg 15(6):405–410Google Scholar
- 32.ISAPS - ISAPS Global Statistics. The international study on aesthetic/cosmetic procedures performed in 2016. https://www.isaps.org/news/isaps-global-statistics. Accessed July 2017