Welcome!

Agile Computing Authors: Ferhat Hatay, Charlotte Spencer-Smith, Elizabeth White, Pat Romanski, SmartBear Blog

News Feed Item

Measuring Outcomes In Facial Rejuvenation No Longer Exclusively Subjective

Doctors Present Objective Measures and Methods to Determine Patient Outcomes and Satisfaction at the Annual Aesthetic Meeting

SAN FRANCISCO, April 26, 2014 /PRNewswire-USNewswire/ -- A panel of plastic surgeons at the annual Aesthetic Meeting in San Francisco of the American Society for Aesthetic Plastic Surgery (ASAPS), today presented  a variety of measures and methodologies to better gauge patient outcomes and satisfaction in a more objective manner than ever before realized. In an effort to steer-clear of opinion or subjective evaluations, plastic surgeons have come together to identify practical and logical means to evaluate the more objective results of various facial rejuvenation procedures.

The American Society For Aesthetic Plastic Surgery, Inc.

"It almost goes without saying that beauty, being in the eye of the beholder, has always been a matter of preference and opinion," states Al Aly, MD. "But as a group of surgeons who strive to achieve optimal results and continually search to improve patient outcomes and satisfaction, we had to ask ourselves why we couldn't come up with some means of measuring the results of facial rejuvenation procedures objectively," he continued.

The doctors have examined patient satisfaction in a fairly simple manner for years -- Is the patient happy with their results, or not? Is the surgeon happy with what they were able to provide to their patient and were they happy with their own results? While all of this information is important, it is entirely subjective and the bigger question remains: Can surgeons evaluate their results based on more objective measures of attractiveness?

When you factor in personal preference and perception you create another obstacle in terms of finding a less subjective means to evaluating outcomes. Not every plastic surgeon would agree on other surgeon's results. One might find something attractive whereas another would feel they could've done a better job – so who is to say? Both surgeons could recognize change – but determining whether it is positive change is another issue.

This raises the question of how humans determine attractiveness. Until recently, plastic surgeons had very little information on this subject and have looked to evolutionary psychology as guidance. Plastic surgeons have discovered that humans are, for the most part, Koinophiles. Koinophilia, a term first used by biologist Johan Koeslag, refers to sexual creatures who, when seeking a mate, have a preference for those who do not have any unusual, peculiar or deviant features. In essence, humans, as sexual creatures prefer the common – the average. That is, for them, what defines attractiveness. When you examine the specific physical facial characteristics of certain individuals and evaluate the distance between someone's eyes or their lip-to-nose ratio for example, you will find that those who the majority of people deem attractive fall into the middle in terms of measurements.

Further, we are all what can be classified as cognitive averagers. We, on a daily basis, take in other people's faces. We see them on television, in the street, at work – and what we haven't fully recognized is that our brains are wired to constantly re-assess our perception of beauty based on the overall average of what we see every day. "This is among the reasons why fashions change and trends change. It is the work of our cumulative cognitive averaging that ultimately creates the next definition of attractiveness. It is ever-changing, but it is almost always based on averaging," explained Dr. Aly.  

Dr. Aly has been examining his own patients and their results for quite some time and has discovered that while there may be an obvious difference between pre-and post-op, change didn't always necessarily translate to improvement. This in and of itself requires doctors to carefully consider what is perceived as 'normal' on average and therefore most attractive. Are doctors merely creating change, or are they creating what can be defined, (either subjectively or objectively), as attractive?

The panelists agree. There is clearly a paradigm shift taking place respecting how to evaluate patient outcomes in facial rejuvenation.

James Grotting, MD, has been utilizing a new tool in his own practice to assess the outcomes of facial aesthetic surgery, in an effort to continually improve what he is doing and the results both he and his patients see.  Andrea Pusic, MD, Associate Professor at Cornell University created a questionnaire/survey tool, the "Face-Q", to enable surgeons to better understand the impact facial aesthetic treatments may have on a patient's quality of life. To date, more than 1,000 Face-Q questionnaires have been completed, and Face-Q is available to any surgeons who wish to use it. 

Dr. Grotting today presented his findings from the results of a 250-facelift patient satisfaction survey along with a study of nearly 50 of his patients utilizing the Face-Q survey. Findings revealed that patients are not only satisfied, but that their quality of life improves. A patient's social confidence and psychological well-being improves post-op, including the manners by which they interact with the world and how they feel about themselves. Grotting asked his own patients who participated how much younger they felt they looked and how long they felt their results lasted, one year post-op.

"The Face-Q is a welcome addition to my practice," explained Dr. Grotting. "It is targeted and the questions are relevant to particular patients, procedures and surgeons and can be used by researchers and clinicians. It is a benefit and a service to the plastic surgery community," he continued.  "From using Dr. Pusic's tool, I have learned things about my own procedures that I would not necessarily have noticed otherwise. I have learned things about my patients including their social function and how they feel in relationships with friends and family – all of which are tied into their surgical outcomes," Grotting explained.

Foad Nahai, MD, moderator of the panel explained, "We have always felt that objective evaluation was probably an elusive goal and that ultimately, success was measured by the patient - but now there are measures to determine if a procedure met the patient's expectations. Did it change their outlook?  Did it change the areas they were concerned about? As the subspecialty of aesthetic plastic surgery evolves, we are developing key analyses and tools to improve outcomes in novel ways."

About ASAPS
The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world's leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body.  ASAPS is comprised of over 2,600 Plastic Surgeons; Active Members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and non-surgical aesthetic procedures. International Active Members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.

Website: www.surgery.org
Follow ASAPS on Twitter: www.twitter.com/ASAPS
Become a fan of ASAPS on Facebook: www.facebook.com/AestheticSociety
Locate a plastic surgeon in your area: http://www.smartbeautyguide.com/select-surgeon

Logo - http://photos.prnewswire.com/prnh/20140226/DC72077LOGO

SOURCE American Society for Aesthetic Plastic Surgery

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

@ThingsExpo Stories
One of the bewildering things about DevOps is integrating the massive toolchain including the dozens of new tools that seem to crop up every year. Part of DevOps is Continuous Delivery and having a complex toolchain can add additional integration and setup to your developer environment. In his session at @DevOpsSummit at 18th Cloud Expo, Miko Matsumura, Chief Marketing Officer of Gradle Inc., will discuss which tools to use in a developer stack, how to provision the toolchain to minimize onboa...
Companies can harness IoT and predictive analytics to sustain business continuity; predict and manage site performance during emergencies; minimize expensive reactive maintenance; and forecast equipment and maintenance budgets and expenditures. Providing cost-effective, uninterrupted service is challenging, particularly for organizations with geographically dispersed operations.
SYS-CON Events announced today that Interoute, owner-operator of one of Europe's largest networks and a global cloud services platform, has been named “Bronze Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2015 at the Javits Center in New York, New York. Interoute is the owner-operator of one of Europe's largest networks and a global cloud services platform which encompasses 12 data centers, 14 virtual data centers and 31 colocation centers, with connections to 195 ad...
Join us at Cloud Expo | @ThingsExpo 2016 – June 7-9 at the Javits Center in New York City and November 1-3 at the Santa Clara Convention Center in Santa Clara, CA – and deliver your unique message in a way that is striking and unforgettable by taking advantage of SYS-CON's unmatched high-impact, result-driven event / media packages.
SYS-CON Events announced today that Commvault, a global leader in enterprise data protection and information management, has been named “Bronze Sponsor” of SYS-CON's 18th International Cloud Expo, which will take place on June 7–9, 2016, at the Javits Center in New York City, NY, and the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Commvault is a leading provider of data protection and information management...
There will be new vendors providing applications, middleware, and connected devices to support the thriving IoT ecosystem. This essentially means that electronic device manufacturers will also be in the software business. Many will be new to building embedded software or robust software. This creates an increased importance on software quality, particularly within the Industrial Internet of Things where business-critical applications are becoming dependent on products controlled by software. Qua...
With an estimated 50 billion devices connected to the Internet by 2020, several industries will begin to expand their capabilities for retaining end point data at the edge to better utilize the range of data types and sheer volume of M2M data generated by the Internet of Things. In his session at @ThingsExpo, Don DeLoach, CEO and President of Infobright, will discuss the infrastructures businesses will need to implement to handle this explosion of data by providing specific use cases for filte...
SYS-CON Events announced today that Pythian, a global IT services company specializing in helping companies adopt disruptive technologies to optimize revenue-generating systems, has been named “Bronze Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2015 at the Javits Center in New York, New York. Founded in 1997, Pythian is a global IT services company that helps companies compete by adopting disruptive technologies such as cloud, Big Data, advanced analytics, and DevO...
SYS-CON Events announced today that Avere Systems, a leading provider of enterprise storage for the hybrid cloud, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Avere delivers a more modern architectural approach to storage that doesn’t require the overprovisioning of storage capacity to achieve performance, overspending on expensive storage media for inactive data or the overbuilding of data centers ...
SYS-CON Events announced today that Alert Logic, Inc., the leading provider of Security-as-a-Service solutions for the cloud, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Alert Logic, Inc., provides Security-as-a-Service for on-premises, cloud, and hybrid infrastructures, delivering deep security insight and continuous protection for customers at a lower cost than traditional security solutions. Ful...
Fortunately, meaningful and tangible business cases for IoT are plentiful in a broad array of industries and vertical markets. These range from simple warranty cost reduction for capital intensive assets, to minimizing downtime for vital business tools, to creating feedback loops improving product design, to improving and enhancing enterprise customer experiences. All of these business cases, which will be briefly explored in this session, hinge on cost effectively extracting relevant data from ...
SYS-CON Events announced today that iDevices®, the preeminent brand in the connected home industry, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. iDevices, the preeminent brand in the connected home industry, has a growing line of HomeKit-enabled products available at the largest retailers worldwide. Through the “Designed with iDevices” co-development program and its custom-built IoT Cloud Infrastruc...
As enterprises work to take advantage of Big Data technologies, they frequently become distracted by product-level decisions. In most new Big Data builds this approach is completely counter-productive: it presupposes tools that may not be a fit for development teams, forces IT to take on the burden of evaluating and maintaining unfamiliar technology, and represents a major up-front expense. In his session at @BigDataExpo at @ThingsExpo, Andrew Warfield, CTO and Co-Founder of Coho Data, will dis...
The Quantified Economy represents the total global addressable market (TAM) for IoT that, according to a recent IDC report, will grow to an unprecedented $1.3 trillion by 2019. With this the third wave of the Internet-global proliferation of connected devices, appliances and sensors is poised to take off in 2016. In his session at @ThingsExpo, David McLauchlan, CEO and co-founder of Buddy Platform, will discuss how the ability to access and analyze the massive volume of streaming data from mil...
WebSocket is effectively a persistent and fat pipe that is compatible with a standard web infrastructure; a "TCP for the Web." If you think of WebSocket in this light, there are other more hugely interesting applications of WebSocket than just simply sending data to a browser. In his session at 18th Cloud Expo, Frank Greco, Director of Technology for Kaazing Corporation, will compare other modern web connectivity methods such as HTTP/2, HTTP Streaming, Server-Sent Events and new W3C event APIs ...
SYS-CON Events announced today that Men & Mice, the leading global provider of DNS, DHCP and IP address management overlay solutions, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. The Men & Mice Suite overlay solution is already known for its powerful application in heterogeneous operating environments, enabling enterprises to scale without fuss. Building on a solid range of diverse platform support,...
Eighty percent of a data scientist’s time is spent gathering and cleaning up data, and 80% of all data is unstructured and almost never analyzed. Cognitive computing, in combination with Big Data, is changing the equation by creating data reservoirs and using natural language processing to enable analysis of unstructured data sources. This is impacting every aspect of the analytics profession from how data is mined (and by whom) to how it is delivered. This is not some futuristic vision: it's ha...
Silver Spring Networks, Inc. (NYSE: SSNI) extended its Internet of Things technology platform with performance enhancements to Gen5 – its fifth generation critical infrastructure networking platform. Already delivering nearly 23 million devices on five continents as one of the leading networking providers in the market, Silver Spring announced it is doubling the maximum speed of its Gen5 network to up to 2.4 Mbps, increasing computational performance by 10x, supporting simultaneous mesh communic...
The cloud promises new levels of agility and cost-savings for Big Data, data warehousing and analytics. But it’s challenging to understand all the options – from IaaS and PaaS to newer services like HaaS (Hadoop as a Service) and BDaaS (Big Data as a Service). In her session at @BigDataExpo at @ThingsExpo, Hannah Smalltree, a director at Cazena, will provide an educational overview of emerging “as-a-service” options for Big Data in the cloud. This is critical background for IT and data profes...
With the Apple Watch making its way onto wrists all over the world, it’s only a matter of time before it becomes a staple in the workplace. In fact, Forrester reported that 68 percent of technology and business decision-makers characterize wearables as a top priority for 2015. Recognizing their business value early on, FinancialForce.com was the first to bring ERP to wearables, helping streamline communication across front and back office functions. In his session at @ThingsExpo, Kevin Roberts...