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In This Issue of JAMA Facial Plastic Surgery
Jan/Feb 2017


JAMA Facial Plast Surg. 2017;19(1):3. doi:10.1001/jamafacial.2016.0585

Klassen and colleagues describe the development and psychometric evaluation of a new FACE-Q scale (patient-reported outcome measure) designed to measure outcomes following cosmetic eye treatments. The psychometric analysis provided evidence of the reliability and validity of the 4 FACE-Q Eye Module scales (eyes, upper and lower eyelids, and eyelashes). For blepharoplasty patients, appearance of the eyes was found to correlate with the number of postoperative adverse effects experienced. Responsiveness research is now needed to document the benefits of cosmetic eye treatments.

Invited Commentary

Drost and coinvestigators conducted a retrospective case review of 56 patients to research the effect of scar and skin graft dermatography on patient satisfaction and quality of life. Participants were invited to respond to 2 questionnaires, the modified Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty and the Patient Scar Assessment Questionnaire, measuring their scar or graft appearance and their quality of life before and after dermatography as an adjuvant treatment for benign or malignant head and neck tumors. They found that the answers to all patient satisfaction and quality-of-life questions on both questionnaires improved significantly after dermatography.

Author Audio Interview

Jowett and colleagues conducted a level 3 comparison cohort study evaluating the degree to which depressor anguli oris inhibition affects smile dynamics and perceived emotional state in patients with unilateral postparalysis facial palsy. Healthy- and paretic-side commissure displacements were calculated from random-ordered photographs of full-effort smile before and after lidocaine injection, and random-ordered hemifacial photographs of the paretic side were assessed as expressing positive, negative, or indiscernible emotion. They found that ipsilateral depressor anguli oris weakening resulted in significant improvements in smile dynamics and perceived expression of positive emotion on the paretic hemiface.


Richardson and colleagues conducted a retrospective single-blind cohort study to evaluate all patients who underwent surgical lip augmentation using SMAS following rhytidectomy at a single private facial plastic surgery practice. Preoperative photographs of each patient served as controls and were compared with postoperative photographs at 3 months, 1 year, and 5 years after lip augmentation. A total of 104 images (from 26 individual patients) were reviewed by 12 blinded observers using a validated lip augmentation grading scale. They found that the degree of augmentation to faded slightly over time but remained significant for at least 5 years postoperatively.