http://pubs.jamanetwork.com/ en-us Thu, 09 May 2013 00:00:00 GMT Thu, 09 May 2013 16:44:36 GMT Silverchair editor@pubs.jamanetwork.com webmaster@pubs.jamanetwork.com http://pubs.jamanetwork.com/article.aspx?articleID=1685148 Thu, 09 May 2013 00:00:00 GMT Panella NJ, Wallin JL, Goldman ND. <span class="paragraphSection"><div class="boxTitle">Importance</div>To improve preoperative counseling for patients considering endoscopic brow-lift (EBL).<div class="boxTitle">Objectives</div>To understand patient-reported outcomes, satisfaction, and recovery after EBL surgery to improve preoperative counseling.<div class="boxTitle">Design, Setting, and Participants</div>A retrospective telephone survey of 57 patients who had EBL or EBL with concurrent rhytidectomy to assess cosmetic and functional outcomes using 47 questions.<div class="boxTitle">Main Outcome and Measure</div>Questions evaluated outcomes, satisfaction, and recovery.<div class="boxTitle">Results</div>Fifty-three patients (93%) reported the procedure was successful, and 55 patients (96%) would recommend undergoing this procedure. Forty-two (74%) were incidentally told they looked younger; 37 patients (65%) were told they looked less tired. Forty-two patients (74%) reported increased confidence. Fifty-one patients (89%) required analgesics for less than 1 week, 44 patients (77%) reported scars as unnoticeable, 54 patients (95%) reported postoperative edema lasting less than 2 weeks, 16 patients (28%) reported alopecia at an incision site, and 36 patients (63%) had some numbness. In the 16 patients who reported headaches before surgery, 8 patients (50%) reported an improvement in either frequency or intensity. Patients who underwent rhytidectomy were significantly more likely to take 2 weeks or longer to return to normal activities. No differences were noted between rhytidectomy with EBL compared with EBL alone in analgesic use, edema, numbness, alopecia, and satisfaction.<div class="boxTitle">Conclusions and Relevance</div>Endoscopic brow-lift is well tolerated and most patients are happy with the outcome. Relying on patient-reported information helps us to better understand the surgical experience and to improve preoperative counseling.<div class="boxTitle">Level of Evidence</div>4.</span> 1 5 10.1001/jamafacial.2013.924 http://pubs.jamanetwork.com/article.aspx?articleID=1685148