Development and Psychometric Validation of the FACE-Q Skin, Lips, and Facial Rhytids Appearance Scales and Adverse Effects Checklists for Cosmetic Procedures

Klassen, Anne F.; Cano, Stefan; Schwitzer, Jonathan A.; Baker, Stephen B.; Carruthers, Alastair; Carruthers, Jean; Chapas, Anne; Pusic, Andrea L.

doi:10.1001/jamadermatol.2016.0018

Cited by 76 publications

(59 citation statements)

References 24 publications

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“…The FACE-Q is a multimodular PROM that includes a set of independently functioning scales and checklists designed to measure concepts that matter to people having any form of facial aesthetic treatment. [29][30][31][32][33][34][35][36] Data from the sample described in this article were included in the international FACE-Q field test study to refine the rhinoplasty module, described in detail elsewhere. 29 Briefly, 158 participants were recruited from plastic surgery clinics in Canada, United States, and United Kingdom (94% response rate).…”

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confidence: 99%

Measuring Patient-Reported Outcomes in Rhinoplasty Using the FACE-Q: A Single Site Study

East¹,

Badia

Marsh

et al. 2017

Facial plast Surg

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Rhinoplasty is one of the most popular surgical cosmetic treatments. Measuring the appearance of the nose has typically involved the use of observer- or surgeon-reported outcome measures (e.g., photographs). While objective outcomes are important, facial appearance is subjective, and therefore outcome assessment should incorporate the patient perspective through the use of patient-reported outcome measures. This study aims to explore relationships between FACE-Q scales scores and measuring adverse effects and change 4 months after surgery in a United Kingdom sample. A questionnaire booklet was completed by patients seeking rhinoplasty between March 2014 and March 2015. The study was conducted at a facial plastic surgery clinic office in London, United Kingdom. Pre- and postoperative rhinoplasty patients aged 19 years and older participated in the study. FACE-Q scales/checklist was utilized for the study. A total of 54 preoperative patients completed seven FACE-Q scales. Before surgery, characteristics of the nose that our sample at least satisfied (i.e., at the harder end of the clinical hierarchy) included the tip of the nose, and how the nose looked in photos and from different angles. In preoperative participants, lower scores for satisfaction with nose and/or nostrils correlated with lower satisfaction with facial appearance and appearance-related psychosocial distress. Participants (N = 13) who had surgery reported significant improvement in satisfaction with the nose, nostrils, and facial appearance overall, and improved psychological and social function. Standardized response means ranged from 0.65 (social function) to 1.55 (facial appearance). The FACE-Q rhinoplasty module can be used in clinical practice, research, and quality improvement to incorporate the patient perspective of appearance in outcome assessments. The level of evidence is defined as level III (diagnostic).

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confidence: 99%

Measuring Patient-Reported Outcomes in Rhinoplasty Using the FACE-Q: A Single Site Study

East¹,

Badia

Marsh

et al. 2017

Facial plast Surg

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“…Subjects completed the FACE‐Q Satisfaction With Skin scale at baseline (day 0, before treatment), months 1, 4, 6, and 9 (before the repeat treatment, if received), and month 1 after the repeat treatment. The Satisfaction With Skin scale is a validated PRO instrument designed to assess the impact of treatment from the subject's perspective . The scale comprises 12 questions about satisfaction with different facial skin attributes (eg, smoothness, clearness, radiance).…”

Section: Methodsmentioning

confidence: 99%

Improvements in satisfaction with skin after treatment of facial fine lines with VYC‐12 injectable gel: Patient‐reported outcomes from a prospective study

Ogilvie¹,

Safa²,

Chantrey³

et al. 2019

J of Cosmetic Dermatology

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Background: VYC-12, a hyaluronic acid injectable gel, is designed to treat fine lines and provides improvements in other skin quality attributes. A prospective study demonstrated the safety and effectiveness of VYC-12 for the improvement of fine lines as measured by changes in skin texture. Aims:To evaluate patient-reported outcomes in subjects treated intradermally with VYC-12 in the cheeks, forehead, and neck (optional) in the prospective study.Methods: Subjects received an initial treatment of VYC-12 (N = 131), with a touch-up treatment, if deemed necessary, offered 30 days later, and optional repeat treatment 9 months after initial or touch-up treatment. Subjects completed the FACE-Q Satisfaction With Skin scale and assessed willingness to recommend treatment to a friend at baseline, months 1, 4, 6, and 9, and month 1 after repeat treatment. Subjects also evaluated their return to normal daily social activities.Results: Satisfaction with skin improved from baseline in 90.8% of subjects at month 1, 88.4% at month 4, 83.6% at month 6, 76.4% at month 9, and 91.9% at month 1 after repeat treatment (P < .001, all time points). At least 94% of subjects returned to normal daily social activities one day after treatment (initial, touch-up, or repeat).More than 80% of subjects said they would recommend treatment to a friend at all time points through month 9 (97% at month 1 after repeat treatment). Conclusion:Treatment with VYC-12 significantly improved satisfaction with skin in the majority of subjects, with most subjects returning to normal activities 1 day after treatment. K E Y W O R D Saesthetics, dermal fillers, hyaluronic acid, patient-reported outcome measures, skin aging

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“…The patients were requested to fill in the scales for "satisfaction with forehead and eyebrow," "appraisal of lines: forehead," "appraisal of lines: between eyebrows," "satisfaction with decision," "satisfaction with outcome," "social function," "psychological function," and "aging appraisal visual analog scale." [13][14][15] Rasch-transformed scores (0-100) were evaluated for each domain. 13 Higher scores indicated better outcomes.…”

Section: Surveymentioning

confidence: 99%

“…[13][14][15] Rasch-transformed scores (0-100) were evaluated for each domain. 13 Higher scores indicated better outcomes.…”

Section: Surveymentioning

confidence: 99%

A Novel Endoscopic Forehead Lift Technique for Patients with Upper Facial Wrinkles: Morphometric Evaluation and Patient-Reported Outcome using FACE-Q Scales

2020

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Chinese patients more frequently complain of forehead wrinkles than eyebrow and upper eyelid ptosis. Besides the commonly used brow-lifting technique, a novel technique to satisfy the demands of Chinese patients is needed. In this article, we introduce our novel endoscopic forehead lift procedure and analyze the morphometric evaluation and patient-reported outcomes. From January 2010 to January 2017, 171 Chinese patients underwent endoscopic forehead lift in which two parallel incisions were made on the frontalis muscle to relieve forehead wrinkles. Biopsy forceps were used to bite off the glabella muscles to relieve wrinkles between the eyebrows. Lifting devices were not used. Morphometric evaluations of eyebrow locations were performed, and the vertical distance of the upper eyebrows was measured post- and preoperatively to evaluate the elevation range. FACE-Q scales were sent to patients who were still being followed-up. A total of 46 patients underwent the morphometric evaluation, which suggested that the eyebrows were elevated effectively. At 12 to 36 months postoperatively, the median post-/preoperative ratio was 118.4, 112.5, and 111.8% in the medial, middle, and lateral eyebrows, respectively. In the same patients, at 37 to 84 months postoperatively, the median post-/preoperative ratio was 116.6, 112.2, and 108.9% in the medial, middle, and lateral eyebrows, respectively. Sixty-five patients completed the FACE-Q scales, demonstrating high satisfaction levels with the forehead and eyebrow, outcome, and decisions, with a median score of 100 for each. Postoperative appraisal revealed that the lines in the forehead and between the eyebrows had a good outcome with scores of 86 and 93, respectively. The median number of years younger that patients thought they appeared was 7. The most frequent self-claimed recovery symptom was temporary forehead skin numbness (83.1%) followed by a receding hairline (46.2%). Our endoscopic forehead lift procedure was effective in relieving forehead and glabella wrinkles and lifting the eyebrows. This was a level of evidence III study.

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Development and Psychometric Validation of the FACE-Q Skin, Lips, and Facial Rhytids Appearance Scales and Adverse Effects Checklists for Cosmetic Procedures

Cited by 76 publications

References 24 publications

Measuring Patient-Reported Outcomes in Rhinoplasty Using the FACE-Q: A Single Site Study

Measuring Patient-Reported Outcomes in Rhinoplasty Using the FACE-Q: A Single Site Study

Improvements in satisfaction with skin after treatment of facial fine lines with VYC‐12 injectable gel: Patient‐reported outcomes from a prospective study

A Novel Endoscopic Forehead Lift Technique for Patients with Upper Facial Wrinkles: Morphometric Evaluation and Patient-Reported Outcome using FACE-Q Scales

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