Facial Plast Surg 2011; 27(1): 005-015
DOI: 10.1055/s-0030-1270418
© Thieme Medical Publishers

Patient Analysis and Selection in Aging Face Surgery

Kian Karimi1 , Peter Adamson1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
Further Information

Publication History

Publication Date:
18 January 2011 (online)

ABSTRACT

Advances in health, increased awareness of preventative medicine, and evolution have led to an increasingly older population worldwide. Surgical aesthetic facial rejuvenation has become increasingly popular, more accessible, and has lost much of the stigma that it once carried. This review will discuss proper patient analysis and selection for aging face surgery, including medical, anatomic, and psychosocial factors that are involved. Although the novice facial plastic surgeon typically focuses on facial analysis and operative techniques in aging face surgery, we caution that the patient's expectations, psychosocial comorbidities, and perioperative interpersonal experiences are the most important factors that yield patient satisfaction, which is the prime outcome that is meaningful in elective cosmetic surgery.

REFERENCES

  • 1 Prentice T. Health, history, and hard choices: funding dilemmas in a fast-changing world. Presented at: Health and Philanthropy: Leveraging Change; August 2006; Indiana University Available at: http://www.who.int/global_health_histories/seminars/presentation07.pdf Accessed November 23, 2010
  • 2 Litner J A, Rotenberg B W, Dennis M, Adamson P A. Impact of cosmetic facial surgery on satisfaction with appearance and quality of life.  Arch Facial Plast Surg. 2008;  10 79-83
  • 3 Chida Y, Steptoe A. Positive psychological well-being and mortality: a quantitative review of prospective observational studies.  Psychosom Med. 2008;  70 741-756
  • 4 Sykes J M. Patient selection in facial plastic surgery.  Facial Plast Surg Clin North Am. 2008;  16 173-176
  • 5 Brissett A E, Hilger P A. Male face-lift.  Facial Plast Surg Clin North Am. 2005;  13 451-458
  • 6 Papel I D, Lee E. The male facelift: considerations and techniques.  Facial Plast Surg. 1996;  12 257-263
  • 7 Goin M K. Psychological understanding and management of rhinoplasty patients.  Clin Plast Surg. 1977;  4 3-7
  • 8 Murray M, Pizzorno J. Encyclopedia of Natural Medicine. Rocklin, CA: Prima Publishing; 1998
  • 9 Warner D O. Perioperative abstinence from cigarettes: physiologic and clinical consequences.  Anesthesiology. 2006;  104 356-367
  • 10 Habbema L. Facial esthetics and patient selection.  Clin Dermatol. 2004;  22 14-17
  • 11 The Merriam-Webster Dictionary of English Usage. Springfield, IL: Merriam Webster Inc.; 1994
  • 12 Adamson P A, Zavod M B. Changing perceptions of beauty: a surgeon's perspective.  Facial Plast Surg. 2006;  22 188-193
  • 13 Ricketts R M. Divine proportion in facial esthetics.  Clin Plast Surg. 1982;  9 401-422
  • 14 Pham A M, Tollefson T T. Objective facial photograph analysis using imaging software.  Facial Plast Surg Clin North Am. 2010;  18 341-349
  • 15 Farkas L G, Hreczko T A, Kolar J C, Munro I R. Vertical and horizontal proportions of the face in young adult North American Caucasians: revision of neoclassical canons.  Plast Reconstr Surg. 1985;  75 328-338
  • 16 Powell N, Humphreys B. Proportions of the Aesthetic Face. New York, NY: Thieme-Stratton; 1984
  • 17 Sheen J H. Aesthetic Rhinoplasty. St. Louis, MO: Mosby; 1978
  • 18 Ellis D A, Masri H. The effect of facial animation on the aging upper half of the face.  Arch Otolaryngol Head Neck Surg. 1989;  115 710-713
  • 19 Gonzalez-Ulloa M. Quantitative principles in cosmetic surgery of the face (profileplasty).  Plast Reconstr Surg Transplant Bull. 1962;  29 186-198
  • 20 Malick F, Howard J, Koo J. Understanding the psychology of the cosmetic patients.  Dermatol Ther. 2008;  21 47-53
  • 21 Honigman R J, Phillips K A, Castle D J. A review of psychosocial outcomes for patients seeking cosmetic surgery.  Plast Reconstr Surg. 2004;  113 1229-1237
  • 22 Napoleon A. The presentation of personalities in plastic surgery.  Ann Plast Surg. 1993;  31 193-208
  • 23 Adamson P A, Chen T. The dangerous dozen—avoiding potential problem patients in cosmetic surgery.  Facial Plast Surg Clin North Am. 2008;  16 195-202, vii
  • 24 Gorney M. Cosmetic surgery in males.  Plast Reconstr Surg. 2002;  110 719
  • 25 Rohrich R J. The man as a cosmetic surgery patient: the weaker sex?.  Plast Reconstr Surg. 2001;  108 2098-2099
  • 26 Dowling N A, Honigman R J, Jackson A C. The male cosmetic surgery patient: a matched sample gender analysis of elective cosmetic surgery and cosmetic dentistry patients.  Ann Plast Surg. 2010;  64 726-731
  • 27 Phillips K A, Dufresne R G. Body dysmorphic disorder. A guide for dermatologists and cosmetic surgeons.  Am J Clin Dermatol. 2000;  1 235-243
  • 28 Phillips K A. Quality of life for patients with body dysmorphic disorder.  J Nerv Ment Dis. 2000;  188 170-175
  • 29 Phillips K A, Diaz S F. Gender differences in body dysmorphic disorder.  J Nerv Ment Dis. 1997;  185 570-577

Peter A AdamsonM.D. F.R.C.S.C. F.A.C.S. 

Professor and Head, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head & Neck Surgery, University of Toronto

150 Bloor Street West, Suite M110, Toronto, ON, Canada M5S 2X9

Email: paa@dradamson.com