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Age-stratified Discrepancy Between Expectations and Satisfaction in Facial Cosmetic Surgery: A Retrospective Cohort
Guo-Xin Ji1, Cun-Wei Fan2, Jian-Chong Chen1
1Department of Plastic Surgery, Putian No.95 Hospital, Putian city, Fujian province, China.
Objective:
This study aims to assess the impact of age on psychological expectations and postoperative satisfaction in facial aesthetic surgery patients.
Methods:
We retrospectively analyzed data from 248 patients who underwent facial rejuvenation surgery between January 2024 and January 2025. Patients were grouped by age and evaluated using the FACE-Q tool.
Results:
Younger patients had significantly higher preoperative expectations and appearance-related stress than older patients (P < 0.001). While both groups showed improved postoperative satisfaction, younger patients had lower overall satisfaction (P < 0.001). Age and preoperative expectations were found to be independent risk factors for dissatisfaction.
Conclusion:
Younger patients had higher preoperative expectations but lower postoperative satisfaction. Age and psychological expectations significantly influence satisfaction, highlighting the need for better expectation management in younger patients to improve outcomes.
Level Of Evidence Ii:
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
