1. Facial Filler in Facial Paralysis: A Prospective Case Study and Multidimensional Assessment.
- Author
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Liu RH, Yau J, Derakhshan A, Xiao R, Hadlock TA, and Lee LN
- Subjects
- Humans, Female, Prospective Studies, Middle Aged, Male, Patient Satisfaction, Adult, Aged, Treatment Outcome, Facial Paralysis psychology, Facial Paralysis therapy, Hyaluronic Acid administration & dosage, Hyaluronic Acid therapeutic use, Dermal Fillers administration & dosage, Quality of Life, Cosmetic Techniques
- Abstract
Background: Facial filler is emerging as a nonsurgical alternative for addressing static asymmetry in facial paralysis (FP). Objectives: To elucidate the patient experience for facial filler and to facilitate preprocedure counseling and education. Materials and Methods: Patients receiving hyaluronic acid filler for FP at a tertiary academic medical center were prospectively recruited. Primary outcomes included patient-reported pain, facial symmetry (on a visual analog scale), and the results of quality-of-life surveys (FACE-Q satisfaction with facial appearance [SFA], FACE-Q psychosocial distress [PSD], Patient Health Questionnaire-9 [PHQ-9], and Euro Quality of Life 5-Dimension [EQ5D]) preprocedure and at 1 and 14 days postprocedure. Results: Twenty patients (90% women, average age 55 ± 11) completed the study. Sites of filler included the cheek, lower lip, nasolabial fold, chin, and temple regions. Patients reported minimal pain at postprocedure days (PPDs) 1 and 14. Patient-perceived symmetry scores improved significantly ( p < 0.0001), as did FACE-Q SFA and FACE-Q PSD scores ( p < 0.0001, <0.0001) when comparing preprocedure with PPD 14. Depression, assessed by PHQ-9, and the anxiety/depression domain of EQ5D, decreased after treatment ( p = 0.016, 0.014) but no change was observed in the other domains of EQ5D. Conclusion: Facial filler for FP can be performed with minimal morbidity (pain, impact on daily routine, and complications) and leads to improvements across multiple psychosocial domains.
- Published
- 2024
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