Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, FX Michelet Center, University Hospital Bordeaux, Place Amélie Raba-Léon, 33076, Bordeaux, France.
Department of Maxillofacial and Oral Surgery, FX Michelet, University Hospital Bordeaux, Place Amélie Raba-Léon, 33076, Bordeaux, France.
Aesthetic Plast Surg. 2019 Apr;43(2):370-375. doi: 10.1007/s00266-018-1277-9. Epub 2018 Nov 28.
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.
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.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
近年来，对美容手术后患者满意度的评估呈上升趋势。迄今为止，尚无前瞻性和全面的研究评估面部和颈部年轻化手术后的这一方面。目前工作的目的是使用经过验证的问卷评估面部和颈部提升手术后的患者满意度。
我们进行了一项前瞻性、多中心研究（涉及五个区域中心），纳入了 2015 年 4 月至 2017 年 4 月期间在法国多家美容外科中心接受面部和颈部提升手术的所有患者。所有患者在手术前、术后 3 个月、6 个月和 12 个月进行 FACE-Q 量表评估。
共纳入 36 例患者，中位年龄为 58.5 岁[四分位距 54.0-66.0]。术后 3 个月的 FACE-Q 结果显著提高（p<0.001）。75%的患者接受了与面部和颈部提升相关的额外手术。特别地，联合眼睑成形术可显著提高整体面部外观评分。患者在术后 3 个月自我评估年轻了 6 岁。这些结果在术后 6 个月和 12 个月时保持不变。
在每个量表上，都可以突出显示 FACE-Q 评分的统计学显著改善，术后 6 个月和 12 个月时的结果持久。我们在此介绍的第一项研究提供了可靠的证据，证明了在除皱手术后可以可靠地评估外观和生活质量结果。
证据水平 IV：本杂志要求作者为每篇文章指定一个证据级别。有关这些循证医学评分的完整描述，请参考目录或在线作者指南 www.springer.com/00266 。
