Abstract：
OBJECTIVE: The objective of this study was to assess satisfaction and psychosocial status before and after facial bone contouring surgery using the Face-Q.
METHODS: The Face-Q, a multimodular patient-reported outcome (PRO) instrument, comprises independently functioning scales and checklists designed to assess outcomes in facial aesthetic patients. A prospective cohort study was conducted from November 2020 to May 2022. Participants undergoing facial bone contouring surgery (reduction mandibuloplasty and/or malarplasty) were asked to complete the Face-Q preoperatively and 12 months postoperatively. Comparative analyses were conducted using normative Face-Q data from 534 matched normal individuals. Face-Q scores were evaluated for each domain on a scale of 0 to 100, with higher scores indicating greater satisfaction with appearance or a superior quality of life.
RESULTS: A total of 284 patients (274 female and 10 male) completed the Face-Q preoperatively and 12 months postoperatively. Of these, 146 underwent reduction mandibuloplasty, 18 underwent malarplasty, and 120 underwent both procedures. Post-surgery, patients experienced significant improvements in overall appearance, features altered by surgery, and quality of life, excluding the patient-perceived age. Preoperatively, patients demonstrated significantly lower scores compared to normative data, with scores significantly increasing postoperatively to levels representative of the general population. Satisfaction with outcome was significantly correlated with postoperative Face-Q measurements but not preoperatively.
CONCLUSIONS: Facial bone contouring surgery significantly improves the satisfaction and quality of life in patients with square faces, reaching a level at least equivalent to the normative population. The use of Face-Q should be highlighted in the clinic practice.
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: The Face-Q, a multimodular patient-reported outcome (PRO) instrument, comprises independently functioning scales and checklists designed to assess outcomes in facial aesthetic patients. A prospective cohort study was conducted from November 2020 to May 2022. Participants undergoing facial bone contouring surgery (reduction mandibuloplasty and/or malarplasty) were asked to complete the Face-Q preoperatively and 12 months postoperatively. Comparative analyses were conducted using normative Face-Q data from 534 matched normal individuals. Face-Q scores were evaluated for each domain on a scale of 0 to 100, with higher scores indicating greater satisfaction with appearance or a superior quality of life.
RESULTS: A total of 284 patients (274 female and 10 male) completed the Face-Q preoperatively and 12 months postoperatively. Of these, 146 underwent reduction mandibuloplasty, 18 underwent malarplasty, and 120 underwent both procedures. Post-surgery, patients experienced significant improvements in overall appearance, features altered by surgery, and quality of life, excluding the patient-perceived age. Preoperatively, patients demonstrated significantly lower scores compared to normative data, with scores significantly increasing postoperatively to levels representative of the general population. Satisfaction with outcome was significantly correlated with postoperative Face-Q measurements but not preoperatively.
CONCLUSIONS: Facial bone contouring surgery significantly improves the satisfaction and quality of life in patients with square faces, reaching a level at least equivalent to the normative population. The use of Face-Q should be highlighted in the clinic practice.
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：
目的：本研究的目的是使用Face-Q评估面骨轮廓术手术前后的满意度和社会心理状况。
方法：TheFace-Q,多模块患者报告结果(PRO)仪器，包括独立功能的量表和检查表，旨在评估面部美学患者的预后。一项前瞻性队列研究于2020年11月至2022年5月进行。要求接受面骨轮廓术（下颌骨成形术和/或下颌骨成形术）的参与者在术前和术后12个月完成Face-Q。使用来自534个匹配的正常个体的标准Face-Q数据进行比较分析。以0至100的量表评估每个领域的Face-Q评分，较高的评分表明对外观的满意度或较高的生活质量。
结果：共有284名患者（274名女性和10名男性）在术前和术后12个月完成了Face-Q。其中,146例接受了下颌骨成形术，18人接受了马甲成形术，120人接受了这两个程序。手术后,患者的整体外观得到了显着改善，手术改变的特征，和生活质量，不包括患者感知的年龄。术前,与规范数据相比，患者的得分明显较低，术后得分显着提高到代表普通人群的水平。对结果的满意度与术后Face-Q测量显着相关，而与术前无关。
结论：面骨轮廓术显著提高了患者的满意度和生活质量，达到至少相当于规范人口的水平。在临床实践中应强调Face-Q的使用。
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：TheFace-Q,多模块患者报告结果(PRO)仪器，包括独立功能的量表和检查表，旨在评估面部美学患者的预后。一项前瞻性队列研究于2020年11月至2022年5月进行。要求接受面骨轮廓术（下颌骨成形术和/或下颌骨成形术）的参与者在术前和术后12个月完成Face-Q。使用来自534个匹配的正常个体的标准Face-Q数据进行比较分析。以0至100的量表评估每个领域的Face-Q评分，较高的评分表明对外观的满意度或较高的生活质量。
结果：共有284名患者（274名女性和10名男性）在术前和术后12个月完成了Face-Q。其中,146例接受了下颌骨成形术，18人接受了马甲成形术，120人接受了这两个程序。手术后,患者的整体外观得到了显着改善，手术改变的特征，和生活质量，不包括患者感知的年龄。术前,与规范数据相比，患者的得分明显较低，术后得分显着提高到代表普通人群的水平。对结果的满意度与术后Face-Q测量显着相关，而与术前无关。
结论：面骨轮廓术显著提高了患者的满意度和生活质量，达到至少相当于规范人口的水平。在临床实践中应强调Face-Q的使用。
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.
