Abstract：
BACKGROUND: This study evaluates change in practice patterns in facelift surgery based on a 15-year review of tracer data collected by the American Board of Plastic Surgery as part of the Continuous Certification process.
METHODS: Tracer data for facelift was reviewed from 2006 to 2021. The 15-year collection period was divided into an \"early cohort (EC)\" from 2006 to 2014 and a \"recent cohort (RC)\" from 2015 to 2021.
RESULTS: Of 3400 facelifts (1710 EC/1690 RC) performed, 18% were done in hospital and 76% were done in an accredited office facility. Ninety one percent of patients were female with an average age of 61 years. There was an increase in the number of secondary facelifts (4% EC vs 18% RC; p < 0.001) and an increased number of patients concerned about volume loss/deflation (25% EC vs 37% RC; p < 0.001). The surgical approach to the SMAS involved plication (40%), flaps (35%), SMASectomy (22%) and MACS lift (6%). One percent of facelifts were subperiosteal and 8% skin-only. Significantly more surgeons used the lateral SMAS flap (14% EC vs 18% RC, p < 0.005), while less used an extended SMAS flap (21% vs 18%; p = 0.001) and MACS lift (10% EC vs 6% RC; p = 0.021) techniques. The concomitant use of facial fat grafting is becoming more common (15% EC vs 24% RC, p = 0.0001).
CONCLUSIONS: A 15-year review of ABPS tracer data provides an excellent venue for the objective assessment of the current status of facelift surgery, and key changes in practice patterns during that time.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: Tracer data for facelift was reviewed from 2006 to 2021. The 15-year collection period was divided into an \"early cohort (EC)\" from 2006 to 2014 and a \"recent cohort (RC)\" from 2015 to 2021.
RESULTS: Of 3400 facelifts (1710 EC/1690 RC) performed, 18% were done in hospital and 76% were done in an accredited office facility. Ninety one percent of patients were female with an average age of 61 years. There was an increase in the number of secondary facelifts (4% EC vs 18% RC; p < 0.001) and an increased number of patients concerned about volume loss/deflation (25% EC vs 37% RC; p < 0.001). The surgical approach to the SMAS involved plication (40%), flaps (35%), SMASectomy (22%) and MACS lift (6%). One percent of facelifts were subperiosteal and 8% skin-only. Significantly more surgeons used the lateral SMAS flap (14% EC vs 18% RC, p < 0.005), while less used an extended SMAS flap (21% vs 18%; p = 0.001) and MACS lift (10% EC vs 6% RC; p = 0.021) techniques. The concomitant use of facial fat grafting is becoming more common (15% EC vs 24% RC, p = 0.0001).
CONCLUSIONS: A 15-year review of ABPS tracer data provides an excellent venue for the objective assessment of the current status of facelift surgery, and key changes in practice patterns during that time.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
背景：这项研究基于美国整形外科委员会作为连续认证过程的一部分收集的示踪剂数据的15年审查，评估了整容手术中实践模式的变化。
方法：回顾了2006年至2021年整容的示踪数据。15年的收集期分为2006年至2014年的“早期队列（EC）”和2015年至2021年的“近期队列（RC）”。
结果：进行了3400次整修（1710EC/1690RC），18%是在医院完成的，76%是在认可的办公设施完成的。91%的患者为女性，平均年龄为61岁。二次整容的数量增加（4％ECvs18％RC；p<0.001），关注体积减少/放气的患者数量增加（25％ECvs37％RC；p<0.001）。SMAS的手术方法涉及折叠（40％），皮瓣（35%），SMA切除术（22％）和MACS解除（6％）。1%的整容为骨膜下，8%为皮肤。更多的外科医生使用外侧SMAS皮瓣(14%ECvs18%RC,p<0.005)，较少使用扩展的SMAS皮瓣（21％vs18％；p=0.001）和MACS提升（10％ECvs6％RC；p=0.021）技术。面部脂肪移植的伴随使用变得越来越普遍(15%ECvs24%RC,p=0.0001)。
结论：对ABPS示踪剂数据的15年回顾为客观评估整容手术的现状提供了一个极好的场所，以及在此期间实践模式的关键变化。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：回顾了2006年至2021年整容的示踪数据。15年的收集期分为2006年至2014年的“早期队列（EC）”和2015年至2021年的“近期队列（RC）”。
结果：进行了3400次整修（1710EC/1690RC），18%是在医院完成的，76%是在认可的办公设施完成的。91%的患者为女性，平均年龄为61岁。二次整容的数量增加（4％ECvs18％RC；p<0.001），关注体积减少/放气的患者数量增加（25％ECvs37％RC；p<0.001）。SMAS的手术方法涉及折叠（40％），皮瓣（35%），SMA切除术（22％）和MACS解除（6％）。1%的整容为骨膜下，8%为皮肤。更多的外科医生使用外侧SMAS皮瓣(14%ECvs18%RC,p<0.005)，较少使用扩展的SMAS皮瓣（21％vs18％；p=0.001）和MACS提升（10％ECvs6％RC；p=0.021）技术。面部脂肪移植的伴随使用变得越来越普遍(15%ECvs24%RC,p=0.0001)。
结论：对ABPS示踪剂数据的15年回顾为客观评估整容手术的现状提供了一个极好的场所，以及在此期间实践模式的关键变化。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
