Twenty-one male and 54 female patients, 14 to 58 years old, completed questionnaires addressing self-esteem, preservation of ethnic characteristics, degree of facial harmony, and overall satisfaction. Responses were scored on a 5-point Likert scale where a score of 1 indicates not at all and 5 indicates very much/to the highest degree.
"Patients reported a significant degree of preservation of ethnic characteristics (mean, 2.3), high self-esteem (mean, 4.3), and very high satisfaction (mean, 4.6) and facial harmony (mean, 4.3) postoperatively (p < 0.001 for all)," Dr. Slupchynskyj and Gieniusz report.
There were two major complications: infection requiring implant removal in one case and hypertrophic scarring in the right alar horizontal incision, which was treated with triamcinolone and composite grafting. The overall complication rate was 2.7%.
The authors attribute the high satisfaction rate to the attainment of facial harmony and the preservation of ethnic characteristics, leading in turn to high self-esteem.
"In our opinion," they write, "computer imaging is an indispensable tool in assuring realistic expectations, and more important, providing a better understanding of possible results, which leads to high patient satisfaction postoperatively."
Arch Facial Plast Surg 2008;10:232-236.
Reviewed by Ramaz Mitaishvili, MD
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