Adverse Event Incidences following Facial Plastic Surgery Procedures: Incorporating FACE-Q Data to Improve Patient Preparation

Abstract

In the growing facial cosmetic surgery industry, patient perspective is critical as a determinant of success; therefore, incorporation of evidence-based patient-reported outcome data will not only improve patient expectations and overall experience, but will also reveal adverse event incidences that were previously unknown. Given that there is incomplete overlap between patient-reported and physician-reported adverse events, presentation of both data sets in the consultation setting will improve patient preparation. Furthermore, use of validated tools such as the FACE-Q will allow surgeons to audit themselves critically.

Cross-cultural validation of the FACE-Q Satisfaction with Facial Appearance Overall Scale (FACE-Q SFAOS) in Brazilian rhytidoplasty patients

“…This was also noted when it was found that procedures at the lower eyelid region did not change satisfaction with facial geometry, perhaps because the physical change was not so pronounced. However, these differences in perceived outcome may differ between patients and surgeons, revealing the complexity of satisfaction after rhytidoplasty and other facial aesthetic procedures (3,7,14).…”

“…Interest in facial rejuvenation has been growing, resulting in an increase in demand for plastic surgery, especially rhytidoplasty (1)(2)(3)(4)(5)(6)(7). In the USA, there was a 21.9% increase in the number of rhytidoplasty procedures from 2016 to 2017 (8).…”

“…However, research assessing outcomes from the patient's perspective is still limited (6,11). This kind of assessment is crucial for making the best clinical decision, the informed consent process, managing postoperative expectations, assessing treatment satisfaction and efficacy, and determining the cost-utility of interventions (3,7,11,12).…”

“…Another current phenomenon is the emergence of a large number of individuals with concerns about aging at a very early age (13). This tendency of younger individuals to seek treatments for skin rejuvenation emphasizes the importance of including instruments that measure patient-reported outcomes (PROs) in clinical practice, as some individuals may have unrealistic expectations of what they are looking for and what the treatment itself may offer (2,3,13,14).…”

“…Satisfaction with appearance and improved quality of life are the most important results for patients undergoing facial aesthetic procedures (4,11,14,15). Nevertheless, although there is an increased interest for these procedures (3,7,24,26,27), the use of reliable and validated instruments is still scarce (25,28). Therefore, patient perspective-based (PRO) instruments are considered to be important and state-of-the-art tools in regard to evidence-based outcomes (11,27,28).…”