Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Aesthet Surg J. 2011 Sep;31(7):770-4. doi: 10.1177/1090820X11417124. Epub 2011 Aug 11.
American Society for Aesthetic Plastic Surgery (ASAPS) survey data showed a 16.7% decrease in the total number of aesthetic surgical procedures from 2008 to 2009, whereas plastic surgeons have seen an increase of 0.6% in their nonsurgical cosmetic procedures.
The authors describe the results of two surveys-one administered to potential patients, one to physicians-assessing the impact of the economy on patient choices in aesthetic facial surgery.
Two surveys were conducted for this study-one from the American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS) and one from the Aesthetic Surgery Education and Research Foundation (ASERF). Both surveys utilized the unique maximum difference (MaxDiff) scaling format, which assesses respondent opinions through attribute/question grouping and multiple exposures to the same parameter, rather than traditional one-time questioning. In this way, MaxDiff analysis helped identify the varied drivers of patients' medical antiaging treatment (MAT) selection. The AAFPRS survey was conducted online through Synovate's Global Opinion Panel to identify an appropriate audience of potential patients. The ASERF survey contained both MaxDiff and traditional questions and was e-mailed to 2267 ASAPS members.
Data from the AAFPRS patient survey showed that 53% of respondents had been affected by the economy in their decisions regarding MAT procedures, with many seeking out less-costly options such as microdermabrasion. An overwhelming majority (95%) also reported that they would prefer a longer-lasting treatment over an immediate effect with shorter duration; furthermore, 60% felt that duration of treatment was more important than cost in selecting a facial aesthetic procedure. In the ASERF surgeon-based portion of the study, 61% of plastic surgeons felt that patients preferred long-lasting results over immediate ones, but 63% also reported that cost was a more important factor for their patients than duration.
Extrapolating from the patient-reported survey preferences, the authors conclude that nonsurgical facial aesthetic treatment plans should currently be focused more on longevity rather than on immediate impact. There is currently a disconnect between patient preferences and surgeon perception of those preferences, which may be remedied with increased education for both groups. It is worth noting that many patients would be willing to accept a higher cost if it was correlated with a longer-lasting result.
美国美容整形外科学会（ASAPS）的调查数据显示，2008 年至 2009 年，美容手术总数减少了 16.7%，而整形外科医生的非手术美容手术数量增加了 0.6%。
作者描述了两项调查的结果，一项是针对潜在患者，另一项是针对医生，以评估经济对美容面部手术患者选择的影响。
本研究进行了两项调查，一项来自美国面部整形与重建外科学会（AAFPRS），另一项来自美容外科学教育与研究基金会（ASERF）。这两项调查都使用了独特的最大差异（MaxDiff）评分格式，通过属性/问题分组和对同一参数的多次曝光来评估受访者的意见，而不是传统的一次性提问。通过这种方式，MaxDiff 分析有助于确定患者医疗抗衰老治疗（MAT）选择的不同驱动因素。AAFPRS 调查通过 Synovate 的全球意见小组在线进行，以确定潜在患者的合适受众。ASERF 调查包含 MaxDiff 和传统问题，并通过电子邮件发送给 2267 名 ASAPS 成员。
AAFPRS 患者调查的数据显示，53%的受访者在决定 MAT 手术时受到了经济的影响，许多人选择了成本较低的选择，如微晶磨削术。绝大多数（95%）受访者还表示，他们更希望选择一种持久的治疗方法，而不是效果短暂的治疗方法；此外，60%的受访者认为在选择面部美容手术时，治疗时间比成本更重要。在基于整形外科医生的 ASERF 研究部分，61%的整形外科医生认为患者更喜欢持久的效果，而不是即时的效果，但 63%的医生也报告说，成本对他们的患者来说比治疗时间更重要。
从患者报告的调查偏好推断，作者得出结论，目前应更加关注非手术面部美容治疗计划的持久性，而不是即时效果。患者的偏好和外科医生对这些偏好的看法之间存在脱节，这可以通过增加双方的教育来解决。值得注意的是，如果治疗效果持久，许多患者愿意接受更高的费用。
