ASDS guidelines of care for tumescent liposuction.
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Dermatology↗
Biomedical subjects
Sue Ellen Cox
Publications and source records attributed to Sue Ellen Cox.
Social implications of hyperdynamic facial lines and patient satisfaction outcomes.
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Botulinum Toxins, Type A↗
Who is still using expanded polytetrafluoroethylene?
BACKGROUND: Expanded polytetrafluoroethylene (ePTFE) is a permanent, solid implant that has been used for facial soft tissue augmentation. The implants are generally used in the lower third of the face for filling lips, nasolabial folds, and deeper facial lines. Many physicians have noted complications with this use. OBJECTIVE: To determine physician satisfaction trends for ePTFE. METHODS. A physician satisfaction survey was sent out in February 2000. Information regarding perceived patient and physician satisfaction regarding favored sites for the use of augmentation with ePTFE, the quantity used, and revision rates was assessed. A second survey was mailed in July 2003 to the same physicians to gain information regarding long-term satisfaction with ePTFE. RESULTS: The results from the first survey revealed that 10 of 12 physicians perceived that their patients were satisfied with ePTFE implants in all locations with the exception of the lips. There was a wide variation in the number of cases of ePTFE performed per year among the different physicians. Reported revision rates varied from less than 1 to 100% in the lips. The majority of the physicians found that removal of the implant was easy. The results from the second survey in 2003 revealed that 100% of the physicians were disappointed with these products. Physicians' assessments of their patients' satisfaction revealed that one-third were mildly disappointed and two-thirds were satisfied. Revision rates in all cases were increased between the first and second survey. A subjective patient satisfaction survey was not done during either of these time periods. CONCLUSIONS: New procedures are often quickly embraced by both physicians and patients. It is crucial that we reevaluate and report long-term experience and satisfaction. Although this informal survey has limitations, it appears that some physicians are less satisfied with ePTFE as a soft tissue implant. Larger studies including objective measurements delineating the degree of improvement and subjective patient satisfaction would be welcomed.
Cosmetic Techniques↗
Tumescent liposuction report performance measurement initiative: national survey results.
BACKGROUND: This study was created by the Accreditation Association for Ambulatory Health Care Institute for Quality Improvement to measure clinical performance and improvement opportunities for physicians and ambulatory health-care organizations. Data were collected prospectively between February 2001 and August 2002. Thirty-nine study centers participated, and 688 patients who had tumescent liposuction were surveyed and followed for 6 months. OBJECTIVE: The objective was to determine patient satisfaction with tumescent liposuction and examine current liposuction practice and the safety of tumescent liposuction in a representative cohort of patients. METHODS: The Accreditation Association for Ambulatory Health Care Institute for Quality Improvement collected prospective data from February 2001 to August 2002 from 68 organizations registered for this study. Ultimately 39 organizations submitted 688 useable cases performed totally with local anesthesia, "tumescent technique." RESULTS: The overall clinical complication rate found in the Accreditation Association for Ambulatory Health Care Institute for Quality Improvement study was 0.7% (5 of 702). There was a minor complication rate of 0.57%. The major complication rate was 0.14% with one patient requiring hospitalization. Seventy-five percent of the patients reported no discomfort during their procedures. Of the 59% of patients who responded to a 6-month postoperative survey, 91% were positive about their decision to have liposuction (rating of 4 or 5 on a scale of 1-5) and 84% had high levels (4 or 5 on a scale of 1-5) of overall satisfaction with the procedure. CONCLUSIONS: Our findings are consistent with others in that tumescent liposuction is a safe procedure with a low complication rate and high patient satisfaction.
Adolescent↗
Development of the Facial Lines Treatment Satisfaction Questionnaire and initial results for botulinum toxin type A-treated patients.
BACKGROUND: Botulinum toxin type A treatment is a safe and effective treatment for facial lines. Patient satisfaction with treatment has not yet been systematically measured and reported. OBJECTIVE: To create a valid and reliable questionnaire to assess patient satisfaction with facial line treatment and to assess treatment satisfaction in facial line patients. METHODS: Development of the Facial Line Treatment Satisfaction (FTS) Questionnaire followed the five-step process recommended by the Patient Reported Outcomes Harmonization Committee. RESULTS: One hundred fifty-two pilot test participants received botulinum toxin type A treatment alone or in combination with a minimally invasive facial line treatment and were satisfied or very satisfied with their facial lines treatment. CONCLUSION: The FTS is a valid and reliable 14-item questionnaire that measures an aesthetic patient's satisfaction with facial line treatment. The FTS can be used in clinical practice or clinical trials of facial line treatments. Botulinum toxin type A treatment is associated with high patient satisfaction.
Adult↗
Social implications of hyperfunctional facial lines.
The face is the focus of human interactions, and facial appearance profoundly affects self-esteem. Facial appearance is not only a compilation of the dimensions of the primary morphologic features but is also a direct result of the emotional expressions exhibited on the face. Facial expressions are central in the communication of emotions, as well as in signaling characteristics such as age. The repeated expression of emotions produces hyperfunctional facial lines, and the presence of these lines when the face is at repose may give an erroneous impression of emotions or personality characteristics. These lines are also perceived as a sign of aging. Treatment of hyperfunctional facial lines is beneficial for patients who believe that their faces are not communicating their emotions properly, who want to delay the outward appearance of aging, or who simply want to look their best.
Aging↗