Facial plast Surg 2016; 32(03): 296-303
DOI: 10.1055/s-0036-1582233
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The Impact of Facial Lipofilling on Patient-Perceived Improvement in Facial Appearance and Quality of Life

Brankica Tepavcevic
BT-Clinic Aesthetic Surgery Center, Belgrade, Serbia
Djordje Radak
Institute of Cardiovascular Diseases “Dedinje,” Belgrade, Serbia
Milan Jovanovic
Clinical Center of Serbia, Clinic for Plastic and Reconstructive Surgery, Belgrade, Serbia
Sandra Radak
Institute of Cardiovascular Diseases “Dedinje,” Belgrade, Serbia
Darija Kisic Tepavcevic
Faculty of Medicine, University of Belgrade, Institute of Epidemiology, Belgrade, Serbia
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01.Juni 2016 (online)


An investigation of the effect of facial lipofilling on patient's satisfaction is a challenging and ongoing research area. Therefore, the aim of this study was to investigate the impact of aesthetic intervention on self-perceived improvement in facial appearance and quality of life (QoL) after 1- and 6-month follow-ups. In the period from October 1, 2014, to March 1, 2015, a total of 63 consecutive subjects who underwent a facial lipofilling were included in the study. The satisfaction with facial appearance was estimated by using the Satisfaction with Facial Appearance Overall scale. QoL was assessed by using the 36-Item Short Form Health Survey (SF-36). Severity of depressive and anxiety symptoms was quantified by using the Hamilton depression and anxiety rating scales. The self-esteem was assessed by Rosenberg self-esteem scale. The average Satisfaction with Facial Appearance Overall scale score at baseline was 45.5 ± 13.0, while this score reached values of 84.5 ± 16.2 after 1 month (Z = −6.744, p < 0.001) and 82.7 ± 12.6 after 6 months (Z = −6.545, p < 0.001) of follow-up. The mean change of Satisfaction with Facial Appearance Overall scale score from baseline to 1-month follow-up was 38.9 ± 21.2 and from baseline to 6-month follow-up was 37.1 ± 18.9. Statistically significant improvement in QoL at each subsequent time point, compared with those at baseline, was detected for all domains of the SF-36 except for subscales of physical functioning and pain. It has been highlighted that advanced social life was strongly associated with improvement in satisfaction with facial appearance, better self-esteem, and lower level of anxiety and depression during the period of follow-up after facial lipofilling. The results of this study supported the hypothesis that the level of self-confidence and mental health–related QoL could be significantly improved following facial lipofilling treatment.