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Facial Plast Surg 2002; 18(2): 119-124
DOI: 10.1055/s-2002-32202
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Outcomes of Facial Cosmetic Procedures

Sam P. Most1 , Ramsey Alsarraf2 , Wayne F. Larrabee, Jr.1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, WA
  • 2The Newbury Center for Cosmetic Facial Plastic Surgery, Boston, MA
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Publication History

Publication Date:
13 June 2002 (online)

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ABSTRACT

Facial cosmetic procedures lend themselves to outcomes studies in ways that traditional reconstructive procedures may not. The most important measures of outcome in facial cosmetic surgery are quality of life and patient satisfaction, in contrast to other, more objective measures such as complications or mortality rates. For this reason, outcomes research in facial cosmetic surgery deserves a special focus of attention. In this article, we review outcomes studies for the more common facial cosmetic procedures, discuss in depth what aspects of patient-related satisfaction have been quantified by these existing studies, and highlight the direction that future outcomes research projects may wish to follow. There exists an abundance of potential interesting areas of study in facial cosmetic surgery, and the application of outcomes research methodology to these realms may allow the facial plastic surgeon to better define the success or failure of each individual facial cosmetic surgery procedure.

KEYWORDS

Cosmetic surgery - outcomes research - quality of life

REFERENCES

  • 1 Stewart E J, Robinson K, Wilson J A. Assessment of patient's benefit from rhinoplasty.  Rhinology . 1996;  34 57-59
    PubMedGoogle Scholar
  • 2 Wei J L, Remington W J, Sherris D A. Work-up and evaluation of patients with nasal obstruction.  Fac Plast Surg . 1999;  7 263-278
    PubMedGoogle Scholar
  • 3 Constantinides M S, Adamson P A, Cole P. The long-term effects of open cosmetic septorhinoplasty on nasal air flow.  Arch Otolaryngol Head Neck Surg . 1996;  122 41-45
    PubMedGoogle Scholar
  • 4 Conrad K, Solomon P, Chapnik J S. Impact of vertical dome division on nasal airflow.  J Otolaryngol . 2000;  29 162-165
    PubMedGoogle Scholar
  • 5 Dinis P B, Dinis M, Gomes A. Psychosocial consequences of nasal aesthetic and functional surgery: a controlled prospective study in an ENT setting.  Rhinology . 1998;  36 32-36
    PubMedGoogle Scholar
  • 6 Toriumi D M, Josen J, Weinberger M, Tardy Jr E M. Use of alar batten grafts for correction of nasal valve collapse.  Arch Otolaryngol Head Neck Surg . 1997;  123 802-808
    CrossrefPubMedGoogle Scholar
  • 7 Guyuron B, Bokhari F. Patient satisfaction following rhinoplasty.  Aesth Plast Surg . 1996;  20 153-157
    CrossrefPubMedGoogle Scholar
  • 8 Siegel N S, Gliklich R E, Taghizadeh F, Chang Y. Outcomes of septoplasty.  Otolaryngol Head Neck Surg . 2000;  122 228-232
    CrossrefPubMedGoogle Scholar
  • 9 Alsarraf R. In search of a hammer.  Otolaryngol Head Neck Surg . 2000;  123 525-526
    CrossrefPubMedGoogle Scholar
  • 10 McKiernan D C, Banfield G, Kumar R, Hinton A E. Patient benefit from functional and cosmetic rhinoplasty.  Clin Otolaryngol . 2001;  26 50-52
    CrossrefPubMedGoogle Scholar
  • 11 Alsarraf R, Larrabee Jr F W, Anderson S, Murakami C S, Johnson Jr M C. Measuring cosmetic facial plastic surgery outcomes: a pilot study.  Arch Facial Plast Surg . 2001;  3 198-201
    CrossrefPubMedGoogle Scholar
  • 12 Alsarraf R. Outcomes research in facial plastic surgery: a review and new directions.  Aesth Plast Surg . 2000;  24 192-197
    CrossrefPubMedGoogle Scholar
  • 13 Webster R C, Davidson T M, Rubin F F, Smith R C. Recording projection of nasal landmarks in rhinoplasty.  Laryngoscope . 1977;  87 1207-1211
    CrossrefPubMedGoogle Scholar
  • 14 Vuyk H D, Oakenfull C, Plaat R E. A quantitative appraisal of change in nasal tip projection after open rhinoplasty.  Rhinology . 1997;  35 124-128
    PubMedGoogle Scholar
  • 15 Rich J S, Friedman W H, Pearlman S J. The effects of lower lateral cartilage excision on nasal tip projection.  Arch Otolaryngol Head Neck Surg . 1991;  117 56-59
    PubMedGoogle Scholar
  • 16 Bafaqeeh S A. Open rhinoplasty: effectiveness of different tripplasty techniques to increase nasal tip projection.  Am J Otolaryngol . 2000;  21 231-237
    CrossrefPubMedGoogle Scholar
  • 17 Foda H M, Kridel R W. Lateral crural steal and lateral crural overlay: an objective evaluation.  Arch Otolaryngol Head Neck Surg . 1999;  125 1365-1370
    CrossrefPubMedGoogle Scholar
  • 18 Dziewulski P, Dujon D, Spyriounis P, Griffiths R W, Shaw J D. A retrospective analysis of the results of 218 consecutive rhinoplasties.  Br J Plast Surg . 1995;  48 451-454
    CrossrefPubMedGoogle Scholar
  • 19 Jerome L. Body dysmorphic disorder: a controlled study of patients requesting cosmetic rhinoplasty.  Am J Psychiatry . 1992;  149 577-578
    PubMedGoogle Scholar
  • 20 Thomas C S, Goldberg D P. Appearance, body image and distress in facial dysmorphophobia.  Acta Psychiatr Scand . 1995;  92 231-236
    CrossrefPubMedGoogle Scholar
  • 21 Ercolani M, Baldaro B, Rossi N, Trombini E, Trombini G. Short-term outcome of rhinoplasty for medical or cosmetic indication.  J Psychosom Res . 1999;  47 277-281
    CrossrefPubMedGoogle Scholar
  • 22 Hay G G, Heather B B. Changes in psychometric test results following cosmetic nasal operations.  Br J Psychiatry . 1973;  122 89-90
    CrossrefPubMedGoogle Scholar
  • 23 Robin A A, Copas J B, Jack A B, Kaeser A C, Thomas P J. Reshaping the psyche. The concurrent improvement in appearance and mental state after rhinoplasty.  Br J Psychiatry . 1988;  152 539-543
    CrossrefPubMedGoogle Scholar
  • 24 Wright M R, Wright W K. A psychological study of patients undergoing cosmetic surgery.  Arch Otolaryngol . 1975;  101 145-151
    CrossrefPubMedGoogle Scholar
  • 25 Ercolani M, Baldaro B, Rossi N, Trombini G. Five-year follow-up of cosmetic rhinoplasty.  J Psychosom Res . 1999;  47 283-286
    CrossrefPubMedGoogle Scholar
  • 26 Perkins S W, Dyer Jr K W, Simo F. Transconjunctival approach to lower eyelid blepharoplasty. Experience, indications, and technique in 300 patients.  Arch Otolaryngol Head Neck Surg . 1994;  120 172-177
    CrossrefPubMedGoogle Scholar
  • 27 Parsa F D, Miyashiro M J, Elahi E, Mirzai T M. Lower eyelid hernia repair for palpebral bags: a comparative study.  Plast Reconstr Surg . 1998;  102 2459-2465
    PubMedGoogle Scholar
  • 28 Carter S R, Seiff S R, Choo P H, Vallabhanath P. Lower eyelid CO(2) laser rejuvenation: a randomized, prospective clinical study.  Ophthalmology . 2001;  108 437-441
    CrossrefPubMedGoogle Scholar
  • 29 Kitzmiller W J, Visscher M, Page D A, Wicket R R, Kitzmiller K W, Singer L J. A controlled evaluation of dermabrasion versus CO2 laser resurfacing for the treatment of perioral wrinkles.  Plast Reconstr Surg . 2000;  106 1366-1374
    CrossrefPubMedGoogle Scholar
  • 30 Langsdon P R, Milburn M, Yarber R. Comparison of the laser and phenol chemical peel in facial skin resurfacing.  Arch Otolaryngol Head Neck Surg . 2000;  126 1195-1199
    PubMedGoogle Scholar
  • 31 Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area.  Plast Reconstr Surg . 1976;  58 80-88
    CrossrefPubMedGoogle Scholar
  • 32 Rees T D, Aston S J. A clinical evaluation of the results of submusculo-aponeurotic dissection and fixation in face lifts.  Plast Reconstr Surg . 1977;  60 851-859
    PubMedGoogle Scholar
  • 33 Tipton J B. Should the subcutaneous tissue be plicated in a face lift?.  Plast Reconstr Surg . 1974;  54 1-5
    PubMedGoogle Scholar
  • 34 Webster R C, Smith R C, Papsidero M J, Karolow W W, Smith K F. Comparison of SMAS plication with SMAS imbrication in face lifting.  Laryngoscope . 1982;  92 901-912
    PubMedGoogle Scholar
  • 35 Ivy E J, Lorenc Z P, Aston S J. Is there a difference?.  <~>A prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies [see comments]. Plast Reconstr Surg . 1996;  98 1135-1147
    PubMedGoogle Scholar
  • 36 Kamer F M, Frankel A S. SMAS rhytidectomy versus deep plane rhytidectomy: an objective comparison [see comments].  Plast Reconstr Surg . 1998;  102 878-881
    CrossrefPubMedGoogle Scholar
  • 37 Alsarraf R. Outcomes instruments in facial plastic surgery.  Fac Plast Surg . 2002;  18 77-86
    Article in Thieme ConnectPubMedGoogle Scholar