Comparison of an Office-based Limited Facelift and Hospital-based Full Facelift

Not Applicable

• Conditions: Skin Aging; Facial Asymmetry; Aging Problems
• Interventions: Procedure: Limited facelift; Procedure: Full facelift; Other: FACE-Q | Aesthetics - Satisfaction With Lower Face and Jawline; Other: FACE-Q | Aesthetics - Recovery Early Symptoms; Other: FACE-Q | Aesthetics - Satisfaction with Outcome

• Registration Number: NCT05419609
• Lead Sponsor: Dufresne, Craig, MD, PC

Brief Summary

To compare safety, patient satisfaction, and technical correction between a limited and full facelift, patients meeting strict clinical and safety criteria for both types of facelift will be randomly assigned to have one of these procedures. In the context of this study, a limited facelift is done in the office under local anesthesia, and a full facelift is done in the hospital or ambulatory surgical center with either general anesthesia or intravenous sedation.

Detailed Description

While there are previous reports of facelift in an office-based setting without general anesthesia or intravenous sedation, these reports included patient demographic information, medical history, and complication rates only and did not compare their office-based facelift with a full facelift done in the hospital or ambulatory surgical center. Previous reports also included oral sedation for all patients.

The current study will address these gaps in what is known about office-based limited facelifts done with local anesthesia. Finally, the study will also ascertain patient satisfaction at 3 points-at the pre-operative visit, early post-operative visit, and final visit-using selected modules from the validated FACE-Q \| Aesthetics survey.

Study Timeline

• Study First Submitted: 2022-06-03
• Study First Submitted QC: 2022-06-10
• Study First Posted: 2022-06-15
• Study Start: 2022-06-30
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-15
• Last Update Posted: 2022-07-19
• Primary Completion: 2023-06
• Study Completion: 2023-07

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Patient willing to randomly undergo either a limited facelift done in the office or a full facelift done in the hospital
• Patient willing and able to accept financial responsibilities of undergoing either type of facelift.
• Patient able to provide informed consent
• Between age 40-years-old and 85-years-old
• No history of bleeding disorder
• BMI <25
• Stable weight
• Does not have implanted cardiac device
• Minimal anxiety
• No history of smoking
• Stable, good health
• Normal blood pressure or well-controlled hypertension
• Surgeon believes patient could tolerate and safely undergo either a limited facelift done in the office or a full facelift done in the hospital

Exclusion Criteria

• Patient refusal to randomly undergo either a limited facelift done in the office or a full facelift done in the hospital
• Patient not willing or not able to accept financial responsibilities of undergoing either type of facelift.
• Patient unable to provide informed consent
• Under age 40-years-old or over 85-years-old
• History of bleeding disorder
• BMI >25
• Unstable weight
• Has implanted cardiac device
• Significant anxiety
• History of smoking
• Significant active disease (e.g., dementia, cancer, chronic respiratory illness, heart disease, etc.)
• Uncontrolled hypertension
• Surgeon believes patient could not tolerate or safely undergo either a limited facelift done in the office or a full facelift done in the hospital

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Office-based limited facelift	Limited facelift	Patients will undergo a limited facelift in the office. Patients will receive local anesthesia and optionally may receive an antianxiety medication.
Hospital-based full facelift	Full facelift	Patients will undergo a full facelift in the hospital or ambulatory surgical center. Patients will receive either general anesthesia or intravenous sedation.
Hospital-based full facelift	FACE-Q | Aesthetics - Satisfaction with Outcome	Patients will undergo a full facelift in the hospital or ambulatory surgical center. Patients will receive either general anesthesia or intravenous sedation.
Hospital-based full facelift	FACE-Q | Aesthetics - Satisfaction With Lower Face and Jawline	Patients will undergo a full facelift in the hospital or ambulatory surgical center. Patients will receive either general anesthesia or intravenous sedation.
Office-based limited facelift	FACE-Q | Aesthetics - Satisfaction With Lower Face and Jawline	Patients will undergo a limited facelift in the office. Patients will receive local anesthesia and optionally may receive an antianxiety medication.
Office-based limited facelift	FACE-Q | Aesthetics - Recovery Early Symptoms	Patients will undergo a limited facelift in the office. Patients will receive local anesthesia and optionally may receive an antianxiety medication.
Office-based limited facelift	FACE-Q | Aesthetics - Satisfaction with Outcome	Patients will undergo a limited facelift in the office. Patients will receive local anesthesia and optionally may receive an antianxiety medication.
Hospital-based full facelift	FACE-Q | Aesthetics - Recovery Early Symptoms	Patients will undergo a full facelift in the hospital or ambulatory surgical center. Patients will receive either general anesthesia or intravenous sedation.

Primary Outcome Measures

Name	Time	Method
Difference in post-operative aesthetic correction rating between groups	an average of 1 year following surgery	Post-operative aesthetic correction rating is completed based on comparison with pre-operative photographs. Ratings possible are 1 (no improvement) to 5 (excellent).
Difference between groups in number of patients requiring treatment by surgeon for post-operative adverse effects	1 hour following surgery and 2 weeks following surgery	Post-operative adverse effects may be acute, such as hematoma or infection, or they may become apparent later, such as nerve injury. Not all post-operative adverse effects will require treatment, such as mild pain, swelling, or bruising.

Secondary Outcome Measures

Name	Time	Method
Change in score of "FACE-Q | Aesthetics - Satisfaction With Lower Face and Jawline" from baseline to last post-operative visit	an average of 30 days before surgery and again an average of 1 year following surgery	The "FACE-Q \| Aesthetics - Satisfaction With Lower Face and Jawline" is a validated patient satisfaction survey for the lower face and jawline.

Trial Locations

Locations (1)

Office of Craig R Dufresne, MD, PC; 🇺🇸 Fairfax, Virginia, United States