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Face-Lift Satisfaction Using the FACE-Q

Sinno, Sammy M.D.; Schwitzer, Jonathan B.S.; Anzai, Lavinia B.S.; Thorne, Charles H. M.D.

Plastic and Reconstructive Surgery: August 2015 - Volume 136 - Issue 2 - p 239–242
doi: 10.1097/PRS.0000000000001412
Cosmetic: Outcomes Article
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Background: Face lifting is one of the most common operative procedures for facial aging and perhaps the procedure most synonymous with plastic surgery in the minds of the lay public, but no verifiable documentation of patient satisfaction exists in the literature. This study is the first to examine face-lift outcomes and patient satisfaction using a validated questionnaire.

Methods: One hundred five patients undergoing a face lift performed by the senior author (C.H.T.) using a high, extended–superficial musculoaponeurotic system with submental platysma approximation technique were asked to complete anonymously the FACE-Q by e-mail. FACE-Q scores were assessed for each domain (range, 0 to 100), with higher scores indicating greater satisfaction with appearance or superior quality of life.

Results: Fifty-three patients completed the FACE-Q (50.5 percent response rate). Patients demonstrated high satisfaction with facial appearance (mean ± SD, 80.7 ± 22.3), and quality of life, including social confidence (90.4 ± 16.6), psychological well-being (92.8 ± 14.3), and early life impact (92.2 ± 16.4). Patients also reported extremely high satisfaction with their decision to undergo face lifting (90.5 ± 15.9). On average, patients felt they appeared 6.9 years younger than their actual age. Patients were most satisfied with the appearance of their nasolabial folds (86.2 ± 18.5), cheeks (86.1 ± 25.4), and lower face/jawline (86.0 ± 20.6), compared with their necks (78.1 ± 25.6) and area under the chin (67.9 ± 32.3).

Conclusion: Patients who responded in this study were extremely satisfied with their decision to undergo face lifting and the outcomes and quality of life following the procedure.

New York, N.Y.

From New York University Institute of Reconstructive Plastic Surgery and Lenox Hill Hospital Plastic Surgery.

Received for publication November 19, 2014; accepted January 15, 2015.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Charles H. Thorne, M.D., 812 Park Avenue, New York, N.Y., cthorne322@yahoo.com

©2015American Society of Plastic Surgeons