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Validating Facial Aesthetic Surgery Results with the FACE-Q

Kappos, Elisabeth A. M.D.; Temp, Mathias M.D.; Schaefer, Dirk J. M.D.; Haug, Martin M.D.; Kalbermatten, Daniel F. M.D.; Toth, Bryant A. M.D.


In the April 2017 Cosmetic article by Kappos et al., entitled “Validating Facial Aesthetic Surgery Results with the FACE-Q” (Plast Reconstr Surg. 2017;139:839–845), the surname for the second author, Dr. Tremp, is misspelled. The author’s name should have appeared as “Mathias Tremp, M.D.” The publisher sincerely regrets this error.

Plastic and Reconstructive Surgery. 139(6):1491, June 2017.

Plastic and Reconstructive Surgery: April 2017 - Volume 139 - Issue 4 - p 839–845
doi: 10.1097/PRS.0000000000003164
Cosmetic: Original Articles

Background: In aesthetic clinical practice, surgical outcome is best measured by patient satisfaction and quality of life. For many years, there has been a lack of validated questionnaires. Recently, the FACE-Q was introduced, and the authors present the largest series of face-lift patients evaluated by the FACE-Q with the longest follow-up to date.

Methods: Two hundred consecutive patients were identified who underwent high–superficial musculoaponeurotic system face lifts, with or without additional facial rejuvenation procedures, between January of 2005 and January of 2015. Patients were sent eight FACE-Q scales and were asked to answer questions with regard to their satisfaction. Rank analysis of covariance was used to compare different subgroups.

Results: The response rate was 38 percent. Combination of face lift with other procedures resulted in higher satisfaction than face lift alone (p < 0.05). Patients who underwent lipofilling as part of their face lift showed higher satisfaction than patients without lipofilling in three subscales (p < 0.05).

Conclusions: Facial rejuvenation surgery, combining a high–superficial musculoaponeurotic system face lift with lipofilling and/or other facial rejuvenation procedures, resulted in a high level of patient satisfaction. The authors recommend the implementation of the FACE-Q by physicians involved in aesthetic facial surgery, to validate their clinical outcomes from a patient’s perspective.

San Francisco, Calif.; and Basel, Switzerland

From Toth Plastic Surgery; and the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel.

Received for publication July 31, 2016; accepted September 20, 2016.

The first two authors contributed equally to this article.

Disclosure: The authors have no financial disclosures to report.

Elisabeth A. Kappos, M.D., Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel, Spitalstrasse 21, CH-4031 Basel, Switzerland,

©2017American Society of Plastic Surgeons