ABSTRACT
Advances in health, increased awareness of preventative medicine, and evolution have
led to an increasingly older population worldwide. Surgical aesthetic facial rejuvenation
has become increasingly popular, more accessible, and has lost much of the stigma
that it once carried. This review will discuss proper patient analysis and selection
for aging face surgery, including medical, anatomic, and psychosocial factors that
are involved. Although the novice facial plastic surgeon typically focuses on facial
analysis and operative techniques in aging face surgery, we caution that the patient's
expectations, psychosocial comorbidities, and perioperative interpersonal experiences
are the most important factors that yield patient satisfaction, which is the prime
outcome that is meaningful in elective cosmetic surgery.
KEYWORDS
Aging face surgery - patient selection - facial analysis - preoperative evaluation
- psychology
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Peter A AdamsonM.D. F.R.C.S.C. F.A.C.S.
Professor and Head, Division of Facial Plastic and Reconstructive Surgery, Department
of Otolaryngology–Head & Neck Surgery, University of Toronto
150 Bloor Street West, Suite M110, Toronto, ON, Canada M5S 2X9
Email: paa@dradamson.com