The Rhytidectomy Scar: Analysis of Patient and Surgeon Perspectives

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Patient-Reported Outcomes

Background:

• Patient preferences are crucial for successful cosmetic surgery outcomes.
• Rhytidectomy (facelift) surgery results in preauricular scars, the perception of which can vary.
• Understanding patient and surgeon perspectives on scar appearance is vital for managing expectations.

Purpose of the Study:

• To analyze and compare the perceptions of cosmetic patients and facial plastic surgeons regarding rhytidectomy scars.
• To identify key factors influencing patient and surgeon satisfaction with facelift scar outcomes.

Main Methods:

• Cross-sectional surveys administered to cosmetic patients and US-based facial plastic surgeons.
• Participants rated standardized preauricular rhytidectomy scars (post-12 months) using a Likert scale.
• Quantitative and qualitative analyses of scar ratings and comments.

Main Results:

• Both groups rated hypopigmented scars less favorably.
• Surgeons showed greater concern for pre-tragal incisions and blunted hair tufts.
• Patients emphasized 'natural' appearance, while surgeons focused on anatomical relationships and technical placement.

Conclusions:

• Cosmetic patients prioritize scar appearance and a sense of normalcy.
• Surgeons focus on the technical aspects and anatomical integration of the scar.
• Aligning patient desires with surgical execution is essential for satisfactory rhytidectomy results.