A systematic review of patient-reported outcome measures after facial cosmetic surgery and/or nonsurgical facial rejuvenation Journal Article


Authors: Kosowski, T. R.; Mccarthy, C.; Reavey, P. L.; Scott, A. M.; Wilkins, E. G.; Cano, S. J.; Klassen, A. F.; Carr, N.; Cordeiro, P. G.; Pusic, A. L.
Article Title: A systematic review of patient-reported outcome measures after facial cosmetic surgery and/or nonsurgical facial rejuvenation
Abstract: BACKGROUND:: Patient satisfaction and improved quality of life are the predominant considerations determining success in cosmetic surgery. However, few studies have examined patients' perceptions of their appearance following cosmetic facial surgery and/or nonsurgical facial rejuvenation. This study identified patient-reported outcome measures developed and validated for use in patients undergoing surgical and/or nonsurgical cosmetic procedures. METHODS:: A systematic review of the English-language literature was performed. Patient-reported outcome measures designed to assess patient satisfaction and/or quality of life following surgical and/or nonsurgical cosmetic procedures were identified. Qualifying instruments were assessed for content and adherence to international guidelines for development and validation. RESULTS:: From 442 articles, 47 patient-reported outcome measures assessing facial appearance after a cosmetic procedure were identified. Only nine questionnaires satisfied inclusion and exclusion criteria. These measures were subdivided into the following categories: rhinoplasty (Rhinoplasty Outcomes Evaluation, Glasgow Benefit Inventory, Facial Appearance Sorting Test), skin rejuvenation (Facial Lines Treatment Satisfaction Questionnaire, Skin Rejuvenation Outcomes Evaluation, Facial Lines Outcomes Questionnaire), face lift (Facelift Outcomes Evaluation), blepharoplasty (Rhinoplasty Outcomes Evaluation), and general appearance (Derriford Appearance Scale 59). None of these measures satisfied all guidelines. All measures were limited by either their development, their validation, or their content. CONCLUSIONS:: Valid, reliable, and responsive instruments designed to measure patient-reported outcomes following surgical and nonsurgical facial rejuvenation are lacking. A patient-reported outcome measure that represents perceptions of facial cosmetic surgery patients and satisfies accepted health measurement criteria is needed. It would facilitate comparison of techniques and quantification of positive effects, and aid surgeons seeking to quantify outcomes in their own practices. © 2009 by the American Society of Plastic Surgeons.
Keywords: treatment outcome; patient satisfaction; review; plastic surgery; outcome assessment; quality of life; practice guideline; self report; questionnaires; questionnaire; systematic review; quantitative analysis; rating scale; self concept; reliability; validity; cosmetic techniques; esthetic surgery; rejuvenation; derriford appearance scale 59; eyelid reconstruction; face surgery; facelift outcomes evaluation; facial appearance sorting test; facial lines outcomes questionnaire; facial lines treatment satisfaction questionnaire; facial rejuvenation; glasgow benefit inventory; nose reconstruction; rhinoplasty outcomes evaluation; rhytidoplasty; skin rejuvenation outcomes evaluation; rhinoplasty; surgery, plastic
Journal Title: Plastic and Reconstructive Surgery
Volume: 123
Issue: 6
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2009-06-01
Start Page: 1819
End Page: 1827
Language: English
DOI: 10.1097/PRS.0b013e3181a3f361
PUBMED: 19483584
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 7" - "Export Date: 30 November 2010" - "CODEN: PRSUA" - "Source: Scopus"
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MSK Authors
  1. Andrea Pusic
    300 Pusic
  2. Patrick Lambert Reavey
    5 Reavey
  3. Peter G Cordeiro
    282 Cordeiro
  4. Amie Marie Scott
    45 Scott
  5. Colleen Marie McCarthy
    143 McCarthy