Humphrey Shannon, Bertucci Vince, Heydenrych Izolda, Ogilvie Patricia, Safa Marva, de la Guardia Carola
Aesthet Surg J Open Forum. 2024 Aug 7;6:ojae059. doi: 10.1093/asjof/ojae059. eCollection 2024.
Aesthetic medicine has traditionally focused on addressing perceived problem areas, with lack of long-term planning and engagement.
This article describes a patient-centric model for nonsurgical aesthetic medical practice, termed the 360° approach to facial aesthetic rejuvenation.
The 360° approach was divided into 4 foundational pillars. Medical literature, the authors' clinical experiences, and results from patient satisfaction surveys were used to support the approach.
Pillar 1 describes the development of a complete understanding of the patient, based on the use of active listening principles, to characterize the patient's current aesthetic concerns, lifestyle, medical and treatment history, treatment goals, attitude toward aesthetic treatment, and financial resources. Pillar 2 involves conducting a comprehensive facial assessment in contrast to a feature-specific assessment, considering multiple facial tissues and structures and their interrelationships, thus helping to prevent the unanticipated consequences of narrowly focused treatment. Pillar 3 describes leveraging all available treatments and techniques in the development of an initial treatment plan arising from the facial assessment. Pillar 4 adds a time dimension to treatment planning, working toward the goal of a long-term modifiable treatment timeline, with full patient support and involvement; this is designed to facilitate a durable, sustained relationship between the patient and aesthetic healthcare professional (HCP).
Although implementation involves substantial commitment and time, the patient-oriented focus of the 360° approach can help achieve optimal patient outcomes and the development of enduring patient-HCP relationships.
传统上，美容医学主要关注解决被认为存在问题的区域，缺乏长期规划和参与。
本文描述了一种以患者为中心的非手术美容医疗实践模式，称为面部美容年轻化的360°方法。
360°方法分为4个基本支柱。医学文献、作者的临床经验以及患者满意度调查结果被用于支持该方法。
支柱1描述了基于积极倾听原则全面了解患者，以明确患者当前的美容关注点、生活方式、医疗和治疗史、治疗目标、对美容治疗的态度以及财务资源。支柱2涉及进行全面的面部评估，与特定特征评估形成对比，考虑多个面部组织和结构及其相互关系，从而有助于防止专注于局部治疗产生的意外后果。支柱3描述了在根据面部评估制定初始治疗计划时利用所有可用的治疗方法和技术。支柱4在治疗计划中增加了时间维度，朝着长期可调整治疗时间表的目标努力，获得患者的全力支持和参与；这旨在促进患者与美容医疗专业人员（HCP）之间持久、持续的关系。
尽管实施需要大量投入和时间，但360°方法以患者为导向的重点有助于实现最佳的患者治疗效果，并建立持久的患者与HCP关系。
