Farishta Daniel, Shires Courtney B, Dewan Karuna, Knackstedt Mark, Soleja Rafay, Bundrick Paige, Bhuiyan Mohammad Alfrad Nobel, Sanders Kenneth, Nathan Cherie-Ann O
From the Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Shreveport, Shreveport, LA.
Department of Head and Neck, West Cancer Center, Germantown, TN.
Plast Reconstr Surg Glob Open. 2025 Jul 17;13(7):e6950. doi: 10.1097/GOX.0000000000006950. eCollection 2025 Jul.
With the relaxation of COVID-19 pandemic-related operative restrictions, the scheduling of elective facial plastic surgery (FPS) cases has increased in comparison to the early pandemic levels. Our study aimed to compare the surgical volume of cosmetic FPS cases in 2018 (pre COVID-19 pandemic) to the volume in 2021 at both a tertiary care academic practice and community practice.
A retrospective chart review was performed at a tertiary academic medical center and community practice. Information abstracted from the patient records included demographics, date of surgery, and procedures performed (blepharoplasty, septorhinoplasty, rhytidectomy, and brow lift).
A total of 139 patients met the inclusion criteria: 58 (41.7%) patients in 2018 and 81 (58.3%) patients in 2021. There was a significant increase in FPS among patients younger than 30 years of age-with a 13.6% increase from 2018 to 2021 ( = 0.02). Additionally, there was a significant increase in septorhinoplasty by 20.5% from 2018 to 2021 across all age groups ( = 0.01). Furthermore, the odds of having a septorhinoplasty in 2021 were 144% higher compared with 2018 (odds ratio: 2.44, 95% confidence interval [1.19-5.11]). The only cosmetic surgery to significantly decrease in volume during the postpandemic time period was rhytidectomy (odds ratio: 0.33, 95% confidence interval [0.12-0.82]).
The COVID-19 pandemic saw a significant rise in FPS in patients younger than 30 years, particularly those opting for septorhinoplasty. The etiology of this increase is not clear. However, possible explanations include: increased disposable income, "Zoom dysmorphia," and the ability for discreet recovery behind a mask.
随着与新冠疫情相关的手术限制的放宽，择期面部整形手术（FPS）病例的安排相较于疫情早期有所增加。我们的研究旨在比较2018年（新冠疫情前）和2021年三级医疗学术机构和社区机构中美容性FPS病例的手术量。
在一家三级学术医疗中心和社区机构进行了回顾性病历审查。从患者记录中提取的信息包括人口统计学资料、手术日期和所实施的手术（眼睑成形术、鼻中隔鼻成形术、除皱术和提眉术）。
共有139例患者符合纳入标准：2018年有58例（41.7%）患者，2021年有81例（58.3%）患者。30岁以下患者的FPS显著增加，从2018年到2021年增加了13.6%（P = 0.02）。此外，2018年至2021年所有年龄组的鼻中隔鼻成形术显著增加了20.5%（P = 0.01）。此外，2021年进行鼻中隔鼻成形术的几率比2018年高144%（优势比：2.44，95%置信区间[1.19 - 5.11]）。疫情后时期唯一手术量显著减少的美容手术是除皱术（优势比：0.33，95%置信区间[0.12 - 0.82]）。
新冠疫情期间，30岁以下患者的FPS显著增加，尤其是那些选择鼻中隔鼻成形术的患者。这种增加的病因尚不清楚。然而，可能的解释包括：可支配收入增加、“变焦畸形症”以及戴口罩后能隐秘恢复。
