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Related Experiment Video

Updated: Jun 13, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Development and mixed-methods evaluation of the Prehabilitation for Facial Feminization Surgery (PREFACE) Program.

Anne E Hall1, Nghiem H Nguyen1, Alexander A Argame2

  • 1Division of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|June 11, 2026
PubMed
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This summary is machine-generated.

The PREFACE multimedia program improved facial feminization surgery preparation and recovery. Patients using PREFACE reported less pain and fewer postoperative communications, demonstrating its effectiveness.

Area of Science:

  • Plastic Surgery
  • Surgical Outcomes
  • Digital Health Interventions

Background:

  • Facial feminization surgery (FFS) requires robust preoperative preparation.
  • A multimedia prehabilitation program, PREFACE, was developed to enhance patient readiness and outcomes.
  • This study assesses the PREFACE program's feasibility, acceptability, and clinical impact.

Purpose of the Study:

  • To evaluate the PREFACE multimedia prehabilitation program for FFS patients.
  • To assess the program's impact on clinical outcomes, including pain and complications.
  • To determine the feasibility and acceptability of the PREFACE program using the RE-AIM framework.

Main Methods:

  • PREFACE utilizes video modules, a guidebook, and a mobile app for preoperative and postoperative guidance.
Keywords:
Artificial intelligenceFacial feminization surgeryFacial gender-affirming surgeryPatient engagementPerioperative chatbotPrehabilitation

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  • A mixed-methods approach, including the RE-AIM framework, assessed program feasibility and acceptability.
  • A hybrid prospective-retrospective cohort of 144 FFS patients compared PREFACE users to a control group.

    • Main Results:

    • PREFACE demonstrated high engagement (94.4%) and satisfaction (9.1/10) among users.
    • PREFACE participants experienced significantly lower inpatient pain (p=0.03) and fewer postoperative communications (p=0.01).
    • Ecological momentary assessment showed reduced pain intensity scores 4-5 days postoperatively for PREFACE users (p=0.02).

    Conclusions:

    • The PREFACE program is a feasible and well-accepted multimedia prehabilitation intervention.
    • PREFACE is associated with reduced postoperative communication and pain during hospitalization and the first week.
    • This program offers a valuable tool for optimizing FFS patient care.