To the Editor.—I wish to congratulate you for accepting and publishing this very thought-provoking and somewhat empirical observation. Yarborough1 is concerned with the issue of efficacy of treatment as measured by the health and welfare of the recipients of our therapeutic actions. His study has targeted a treatment that is clearly at one extreme of the spectrum and where patient satisfaction is the strongest, if not the only, yardstick by which the benefit of treatment is measured. At the risk of being called intolerant, he questions the patients' motives for wishing to alter their appearance, and he doubts the efficacy of treatment because it does not promote health and welfare. All this is good and commendable. I certainly do not wish to fuel this fire; furthermore, I want to stay out of this particular controversy.
My reason for writing is of a different nature. If Yarborough has a
GOEPFERT H. Collagen Injections. Arch Otolaryngol Head Neck Surg. 1991;117(10):1189. doi:10.1001/archotol.1991.01870220141026
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