Short- and Long-term Patient Satisfaction and Complications in 650 Endoscopic Forehead Lift Procedures.

Ophthalmic Plast Reconstr Surg

Eye and Skull Base Research Centers, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Science, Tehran, Iran.

Published: April 2022

AI Article Synopsis

  • The study aimed to evaluate patient satisfaction and complications in 650 individuals who underwent an endoscopic forehead lift (EFL), comparing short-term (6 months) and long-term (2+ years) outcomes.
  • Results showed a significant drop in satisfaction from 96.6% short-term to 79.9% long-term, with most patients reporting decreased satisfaction over time.
  • Temporary complications affected 30.3% of patients (like itching and headaches), while permanent complications occurred in 15.8%, with a reoperation rate of just 1.2% primarily due to undercorrection and alopecia.

Article Abstract

Purpose: The aims are to compare short- versus long-term patient satisfaction and report temporary versus permanent complications in 650 patients with endoscopic forehead lift procedure (EFL).

Methods: This is a retrospective study on all of the consecutive patients with EFL. Patients with previous trauma and surgery and less than 2 years follow up were excluded. Short- (6 months) and long-term (≥2 years) patient satisfaction (visual analog score [VAS], 0-100) were recorded. Patients' perspectives on temporary versus permanent complications were also documented.

Results: Mean age and follow up were 46.4 and 7.1 (2-13) years, respectively. Long-term satisfaction (79.9) was significantly lower than the short term (96.6). The long-term satisfaction decreased in 95.7%, increased in 2.7%, and remained the same in 1.6% of the patients. Intraoperative skin laceration occurred in 3 patients (0.5%). Mean time of forehead numbness recovery was 2.3 months. Temporary complications were itching (13.7%), headache (6.3%), unilateral facial nerve palsy (5.8%), acne (3.2%), and remained staples (1.7%). Permanent complications included undercorrection (7.1%), alopecia (4.2%), forehead irregularities (2.3%), surprised look (2.2%), incision site complications (2%), and glabellar depression (0.9%). Reoperation (1.2%) was performed for undercorrection and alopecia. While short-term satisfaction was significantly lower in patients with temporary facial nerve paresis, long-term satisfaction was lower in patients with undercorrection and reoperation.

Conclusion: A high satisfaction scores of 96.6 and 80 were observed in the short- and long-term follow up after the EFL. Frequency of temporary and permanent postoperative complications was 30.3% and 15.8%. Reoperation rate was 1.2%.

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Source
http://dx.doi.org/10.1097/IOP.0000000000002003DOI Listing

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