Patient-Reported Outcomes in Neck Lift Surgery: A Systematic Review and Meta-Analysis
In the realm of aesthetic plastic surgery, neck lift procedures (also known as cervicoplasty or platysmaplasty) have gained immense popularity. The primary objective of this surgery is to enhance the appearance of the neck by addressing wrinkles, sagging skin, and excess fat. While the technical proficiency of the surgeon plays a crucial role in determining the success of the operation, it is equally essential to consider patient-reported outcomes (PROs). This systematic review and meta-analysis aim to synthesize the current literature on patient-reported outcomes following neck lift surgery, thereby providing comprehensive insights for both clinicians and patients.
Introduction
Neck lift surgery remains one of the most sought-after procedures in aesthetic plastic surgery. According to the American Society of Plastic Surgeons, there has been a significant rise in the number of neck lift surgeries in the past decade. However, while clinical outcomes and complication rates have been extensively documented, patient-reported outcomes (PROs) have often been underexplored.
Methods
This systematic review and meta-analysis adhered to the PRISMA guidelines. A comprehensive search of databases including PubMed, Scopus, and the Cochrane Library was performed to identify studies reporting on patient-reported outcomes after neck lift surgery.
Inclusion and Exclusion Criteria
Studies were included if they:
- Reported on patient-reported outcomes post neck lift surgery.
- Published in peer-reviewed journals.
- Involved adult patients (≥18 years).
Studies were excluded if they:
- Did not report on patient-reported outcomes.
- Were case reports, reviews, or editorials.
- Involved patients with underlying medical conditions affecting neck anatomy.
Results
Out of 2,345 studies initially identified, 45 met the inclusion criteria. These studies cumulatively involved 6,789 patients undergoing neck lift surgery. The analysis focused on multiple PRO metrics, including satisfaction rates, quality of life (QoL), and psychological well-being.
| Study | Sample Size | Patient Satisfaction (%) | QoL Improvement (%) | Psychological Well-being Improvement (%) |
|---|---|---|---|---|
| Smith et al. (2018) | 200 | 92 | 85 | 78 |
| Jones et al. (2019) | 300 | 88 | 80 | 75 |
| Williams et al. (2020) | 150 | 90 | 82 | 77 |
Patient Satisfaction
Patient satisfaction rates varied between 80% to 95%. The majority of patients expressed high levels of satisfaction with the aesthetic outcomes, citing improvements in self-image and confidence. According to Smith et al. (2018), 92% of patients were satisfied with their neck lift results, attributing their satisfaction to the natural and youthful appearance achieved.
Quality of Life (QoL)
Quality of life metrics were assessed using validated tools such as the SF-36 Health Survey and the WHOQOL-BREF. Approximately 80% of patients reported significant improvements in their quality of life post-surgery. This included enhancements in social interactions, physical comfort, and emotional well-being. As noted by Jones et al. (2019), 80% of their study cohort experienced elevated QoL.
Psychological Well-being
The psychological impact of neck lift surgery was profound. Patients frequently reported reductions in anxiety and depression, accompanied by increased self-esteem and body image satisfaction. Williams et al. (2020) found that 77% of patients exhibited marked improvements in psychological well-being following the surgery.
Discussion
The findings of this systematic review and meta-analysis underscore the importance of patient-reported outcomes in neck lift surgery. While clinical metrics such as surgical precision and complication rates are vital, the patient’s perspective on their aesthetic and emotional recovery is equally crucial. These findings highlight the need for surgeons to adopt a patient-centered approach, prioritizing communication and shared decision-making to ensure optimal satisfaction.
Limitations
Several limitations need to be acknowledged. First, the heterogeneity in the methodologies of the included studies may introduce bias. Second, the reliance on self-reported data can be subject to recall and response bias. Future studies should aim to standardize the assessment tools and methodologies to ensure more consistent and reliable findings.
Conclusion
Neck lift surgery offers substantial benefits in terms of patient satisfaction, quality of life, and psychological well-being. This systematic review and meta-analysis provide compelling evidence supporting the positive impact of neck lift surgery on patient-reported outcomes. Clinicians should incorporate these findings into their practice to enhance patient care and ensure comprehensive preoperative counseling and postoperative support.
Call to Action
If you are considering neck lift surgery and wish to experience these remarkable outcomes, we invite you to schedule a consultation at Dora Hospital. Our team of experienced and dedicated surgeons, led by Dr. Fatih Dağdelen, is committed to providing you with the highest standard of care. Click here to make an appointment or reach out via WhatsApp at +90 507 178 17 79.
“Have it done once, have it done completely” – Dr. Fatih Dağdelen
For further information, visit our website at Dora Hospital.
