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Comment & Response |

Use of FACE-Q to Measure Quality of Life Following Aesthetic Facial Treatments

Anne F. Klassen, DPhil1; Stefan J. Cano, PhD2; Andrea L. Pusic, MD, MSc3
[+] Author Affiliations
1Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
2Modus Outcomes, Stotfold, England
3Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York
JAMA Facial Plast Surg. 2016;18(2):148-149. doi:10.1001/jamafacial.2016.0001.
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To the Editor We commend Jacono and colleagues1 for using a patient-reported outcome measure (PROM) in their study, adding to the body of evidence-based outcomes data for facial aesthetics treatments. We have concerns, though, about their choice of PROM. The Rosenberg Self-Esteem scale (RSES) is a legacy scale, published in 1965 after testing in more than 5000 US high school students. Jacono and colleagues1 found no change in self-esteem in 50 patients 6 months after a face-lift. This was not a surprise; self-esteem is a relatively stable construct.2 What was a surprise was the authors’ choice to use a generic rather than cosmetic-surgery specific PROM.


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March 1, 2016
Andrew A. Jacono, MD; Ryan P. Chastant, MD; Amanda R. McGovern, PhD
1New York Center for Facial Plastic and Laser Surgery, New York, New York
2Acadian Facial Plastic Surgery, Lafayette, Louisiana
3Columbia University Medical Center, New York, New York
JAMA Facial Plast Surg. 2016;18(2):149. doi:10.1001/jamafacial.2016.0004.
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