Original Investigation |

Patient Outcomes, Satisfaction, and Improvement in Headaches After Endoscopic Brow-lift

Nicholas J. Panella, MD1; Jordan L. Wallin, MD1; Neal D. Goldman, MD2,3
[+] Author Affiliations
1Wake Forest Baptist School of Medicine, Winston-Salem, North Carolina
2Department of Otolaryngology–Head and Neck Surgery, Wake Forest Baptist School of Medicine, Winston-Salem, North Carolina
3currently in private practice, Boone, North Carolina
JAMA Facial Plast Surg. 2013;15(4):263-267. doi:10.1001/jamafacial.2013.924.
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Importance  To improve preoperative counseling for patients considering endoscopic brow-lift (EBL).

Objectives  To understand patient-reported outcomes, satisfaction, and recovery after EBL surgery to improve preoperative counseling.

Design, Setting, and Participants  A retrospective telephone survey of 57 patients who had EBL or EBL with concurrent rhytidectomy to assess cosmetic and functional outcomes using 47 questions.

Main Outcome and Measure  Questions evaluated outcomes, satisfaction, and recovery.

Results  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.

Conclusions and Relevance  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.

Level of Evidence  4.

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Figure 1.
Patient-Reported Pain Score

Representation of the mean (SD) pain score reported by patients by postoperative day.

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Figure 2.
Patient-Reported Outcomes

Depiction of patient-reported outcomes from those responding to our survey.

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