Welcome!

Agile Computing Authors: Elizabeth White, Liz McMillan, Xenia von Wedel, Sanjay Zalavadia, Dana Gardner

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
The Internet of Things will challenge the status quo of how IT and development organizations operate. Or will it? Certainly the fog layer of IoT requires special insights about data ontology, security and transactional integrity. But the developmental challenges are the same: People, Process and Platform and how we integrate our thinking to solve complicated problems. In his session at 19th Cloud Expo, Craig Sproule, CEO of Metavine, will demonstrate how to move beyond today's coding paradigm ...
The cloud market growth today is largely in public clouds. While there is a lot of spend in IT departments in virtualization, these aren’t yet translating into a true “cloud” experience within the enterprise. What is stopping the growth of the “private cloud” market? In his general session at 18th Cloud Expo, Nara Rajagopalan, CEO of Accelerite, explored the challenges in deploying, managing, and getting adoption for a private cloud within an enterprise. What are the key differences between wh...
SYS-CON Events has announced today that Roger Strukhoff has been named conference chair of Cloud Expo and @ThingsExpo 2016 Silicon Valley. The 19th Cloud Expo and 6th @ThingsExpo will take place on November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. "The Internet of Things brings trillions of dollars of opportunity to developers and enterprise IT, no matter how you measure it," stated Roger Strukhoff. "More importantly, it leverages the power of devices and the Interne...
"We work in the area of Big Data analytics and Big Data analytics is a very crowded space - you have Hadoop, ETL, warehousing, visualization and there's a lot of effort trying to get these tools to talk to each other," explained Mukund Deshpande, head of the Analytics practice at Accelerite, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
The idea of comparing data in motion (at the sensor level) to data at rest (in a Big Data server warehouse) with predictive analytics in the cloud is very appealing to the industrial IoT sector. The problem Big Data vendors have, however, is access to that data in motion at the sensor location. In his session at @ThingsExpo, Scott Allen, CMO of FreeWave, discussed how as IoT is increasingly adopted by industrial markets, there is going to be an increased demand for sensor data from the outermos...
UAS, drones or unmanned aircraft, no matter what you call them — this was their week. Our news stream was flooded with updates on the newly announced rules and regulations for commercial UAS from the FAA. So, naturally we have dedicated this week’s top news round up to highlight some of our favorite UAS stories.
Internet of @ThingsExpo has announced today that Chris Matthieu has been named tech chair of Internet of @ThingsExpo 2016 Silicon Valley. The 6thInternet of @ThingsExpo will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA.
Basho Technologies has announced the latest release of Basho Riak TS, version 1.3. Riak TS is an enterprise-grade NoSQL database optimized for Internet of Things (IoT). The open source version enables developers to download the software for free and use it in production as well as make contributions to the code and develop applications around Riak TS. Enhancements to Riak TS make it quick, easy and cost-effective to spin up an instance to test new ideas and build IoT applications. In addition to...
CenturyLink has announced that application server solutions from GENBAND are now available as part of CenturyLink’s Networx contracts. The General Services Administration (GSA)’s Networx program includes the largest telecommunications contract vehicles ever awarded by the federal government. CenturyLink recently secured an extension through spring 2020 of its offerings available to federal government agencies via GSA’s Networx Universal and Enterprise contracts. GENBAND’s EXPERiUS™ Application...
In addition to all the benefits, IoT is also bringing new kind of customer experience challenges - cars that unlock themselves, thermostats turning houses into saunas and baby video monitors broadcasting over the internet. This list can only increase because while IoT services should be intuitive and simple to use, the delivery ecosystem is a myriad of potential problems as IoT explodes complexity. So finding a performance issue is like finding the proverbial needle in the haystack.
When people aren’t talking about VMs and containers, they’re talking about serverless architecture. Serverless is about no maintenance. It means you are not worried about low-level infrastructural and operational details. An event-driven serverless platform is a great use case for IoT. In his session at @ThingsExpo, Animesh Singh, an STSM and Lead for IBM Cloud Platform and Infrastructure, will detail how to build a distributed serverless, polyglot, microservices framework using open source tec...
Presidio has received the 2015 EMC Partner Services Quality Award from EMC Corporation for achieving outstanding service excellence and customer satisfaction as measured by the EMC Partner Services Quality (PSQ) program. Presidio was also honored as the 2015 EMC Americas Marketing Excellence Partner of the Year and 2015 Mid-Market East Partner of the Year. The EMC PSQ program is a project-specific survey program designed for partners with Service Partner designations to solicit customer feedbac...
Apixio Inc. has raised $19.3 million in Series D venture capital funding led by SSM Partners with participation from First Analysis, Bain Capital Ventures and Apixio’s largest angel investor. Apixio will dedicate the proceeds toward advancing and scaling products powered by its cognitive computing platform, further enabling insights for optimal patient care. The Series D funding comes as Apixio experiences strong momentum and increasing demand for its HCC Profiler solution, which mines unstruc...
The IoT is changing the way enterprises conduct business. In his session at @ThingsExpo, Eric Hoffman, Vice President at EastBanc Technologies, discussed how businesses can gain an edge over competitors by empowering consumers to take control through IoT. He cited examples such as a Washington, D.C.-based sports club that leveraged IoT and the cloud to develop a comprehensive booking system. He also highlighted how IoT can revitalize and restore outdated business models, making them profitable ...
IoT offers a value of almost $4 trillion to the manufacturing industry through platforms that can improve margins, optimize operations & drive high performance work teams. By using IoT technologies as a foundation, manufacturing customers are integrating worker safety with manufacturing systems, driving deep collaboration and utilizing analytics to exponentially increased per-unit margins. However, as Benoit Lheureux, the VP for Research at Gartner points out, “IoT project implementers often ...
"delaPlex is a software development company. We do team-based outsourcing development," explained Mark Rivers, COO and Co-founder of delaPlex Software, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
In his general session at 18th Cloud Expo, Lee Atchison, Principal Cloud Architect and Advocate at New Relic, discussed cloud as a ‘better data center’ and how it adds new capacity (faster) and improves application availability (redundancy). The cloud is a ‘Dynamic Tool for Dynamic Apps’ and resource allocation is an integral part of your application architecture, so use only the resources you need and allocate /de-allocate resources on the fly.
Connected devices and the industrial internet are growing exponentially every year with Cisco expecting 50 billion devices to be in operation by 2020. In this period of growth, location-based insights are becoming invaluable to many businesses as they adopt new connected technologies. Knowing when and where these devices connect from is critical for a number of scenarios in supply chain management, disaster management, emergency response, M2M, location marketing and more. In his session at @Th...
Machine Learning helps make complex systems more efficient. By applying advanced Machine Learning techniques such as Cognitive Fingerprinting, wind project operators can utilize these tools to learn from collected data, detect regular patterns, and optimize their own operations. In his session at 18th Cloud Expo, Stuart Gillen, Director of Business Development at SparkCognition, discussed how research has demonstrated the value of Machine Learning in delivering next generation analytics to imp...
In his keynote at 18th Cloud Expo, Andrew Keys, Co-Founder of ConsenSys Enterprise, provided an overview of the evolution of the Internet and the Database and the future of their combination – the Blockchain. Andrew Keys is Co-Founder of ConsenSys Enterprise. He comes to ConsenSys Enterprise with capital markets, technology and entrepreneurial experience. Previously, he worked for UBS investment bank in equities analysis. Later, he was responsible for the creation and distribution of life sett...