Evaluating the Satisfaction of Patients Undergoing Hair Transplantation Surgery Using the FACE-Q Scales
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It is necessary to evaluate a successful cosmetic procedure from the patients’ perspective. FACE-Q is a patient-reported outcome scale for patients undergoing cosmetic procedures. However, currently there are no FACE-Q scales used in the field of hair transplant surgery. This article aims to apply FACE-Q scales to evaluate the satisfaction of patients undergoing hair transplantation surgery.
FACE-Q scales were modified to contain both preoperative and 6-month postoperative self-assessment, including baseline preoperative information of patients (such as age, family history of alopecia, Hamilton’ alopecia grade),preoperative self-assessment (satisfaction with appearance, the preoperative visual age, expected visual age) and postoperative self-assessment (satisfaction with appearance, postoperative visual age, satisfaction with decision, psychological well-being and social function). Besides, early life impact and recovery early symptoms were also re-evaluated.
The mean difference between the 6-month satisfaction with appearance and baseline scores showed a significant increase of 29.62 (baseline, 46.97; 6-month, 76.59; P < 0.001) and patients perceived they appeared 5.81 years younger after surgery (P < 0.001). Postoperative satisfaction with appearance has no significant relevance with gender (P = 0.460), age (P = 0.529), marriage (P = 0.811) or family history of alopecia (P = 0.641). However, income (P = 0.003), educational level (P = 0.003), the purpose of hair transplantation (P = 0.018) and early life impact (P = 0.002) were shown to have a significant impact on satisfaction with appearance.
The FACE-Q scales are a valid and reliable patient-reported outcome tool for patients undergoing hair transplantation and can be widely used to evaluate the satisfaction of patients undergoing such surgery.
Level of Evidence IV
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KeywordsHair loss Hair transplantation FACE-Q scales Patient satisfaction Patient-reported outcome
This study was funded by the followings: Natural Science Foundation of China (Grant Nos. 81701929, 81772104).
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest.
All experiments are endorsed by the Ethics Committee of Southern Medical University and complied with the Declaration of Helsinki.
No informed consent was required because data were going to be analyzed anonymously.
- 3.Hibler BP, Schwitzer J, Rossi AM (2016) Assessing improvement of facial appearance and quality of life after minimally-invasive cosmetic dermatology procedures using the FACE-Q scales. J Drugs Dermatol 15(1):62–67Google Scholar
- 8.Prieto L, Alonso J, Lamarca R, Wright BD (1998) Rasch measurement for reducing the items of the Nottingham Health Profile. J Outcome Meas 2(4):285–301Google Scholar
- 9.Andrich D (2004) Controversy and the Rasch model: a characteristic of incompatible paradigms? Med Care 42(1 Suppl):I7–I16Google Scholar
- 10.Sadick NS (2008) The impact of cosmetic interventions on quality of life. Dermatol Online J 14(8):2Google Scholar
- 20.Rassman WR, Bernstein RM, McClellan R et al (2002) Follicular unit extraction: minimally invasive surgery for hair transplantation. Dermatol Surg 28(8):720–728Google Scholar