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Authors
Abstract(s)
Introdução: Segundo a International Society of Aesthetic Plastic Surgery, em 2020, a
blefaroplastia, a lipoaspiração e a mamoplastia de aumento foram os 3 principais
procedimentos cirúrgicos realizados mundialmente por cirurgiões plásticos e a aplicação
de toxina botulínica foi o procedimento não cirúrgico mais comum. Devido à elevada
procura por este tipo de intervenções estéticas, é importante avaliar os outcomes das
mesmas. A Qualidade de Vida é um outcome importante a ser avaliado na especialidade
de Cirurgia Plástica, Reconstrutiva e Estética.
Objetivo: Estudar o impacto que a blefaroplastia, a lipoaspiração, a mamoplastia de
aumento e a aplicação da toxina botulínica têm na Qualidade de Vida dos
intervencionados. É também um propósito deste estudo, analisar a forma como a
avaliação da Qualidade de Vida é realizada.
Metodologia: Nesta revisão sistemática, a pesquisa foi realizada nas bases de dados
Pubmed, B-on, ProQuest, Scopus, EBSCO e Repositório Científico de Acesso Aberto em
Portugal (RCAAP). Todavia, no RCAAP não foram obtidos resultados, por isso não foi
incluído no estudo. A pesquisa foi restrita a artigos escritos em inglês, espanhol e
português e publicados entre 2016 e 2022. A data da última pesquisa foi a 27 de março
de 2022. A avaliação da qualidade dos artigos foi feita utilizando a ferramenta de Hawker
et al. Foram incluídos estudos que avaliassem o impacto das intervenções estéticas na
Qualidade de Vida.
Resultados: Da pesquisa da base de dados e, após exclusão de artigos duplicados, foram
obtidos 1067 artigos. Após leitura do título e resumo, foram excluídos 1023 artigos.
Foram excluídos 33 artigos depois da leitura completa dos artigos. A qualidade destes foi
avaliada através da ferramenta de Hawker et al e todos os 11 artigos foram incluídos no
estudo. Os artigos eram de diferentes países. A maioria das amostras eram compostas
por elementos do sexo feminino. Relativamente às intervenções, a maior parte dos
artigos abordaram a mamoplastia de aumento e nenhum estudo abordou a aplicação da
toxina botulínica. Para avaliação do impacto na Qualidade de Vida, foram utilizados
questionários escritos pelos autores dos artigos em 4 estudos, BREAST-Q em 5 estudos,
Rosenberg Self-Esteem Scale (RSES) em 2 estudos, WHOQOL-BREF em 1 estudo, SF36 em 1 estudo e outros 3 instrumentos (Questions on Life Satisfaction, Modules (FLZ
M); Freiburg Personality Inventory-Revised (FPI-R); Patient Health Questionnaire
(PHQ-4)) em 1 estudo. A avaliação de Qualidade de Vida foi realizada antes e após a intervenção em 5 estudos e apenas no pós-operatório em 6 estudos. O tempo no pósoperatório em que foram aplicados os questionários variou bastante. Os dados
demonstraram um impacto positivo na Qualidade de Vida.
Conclusão: Os dados recolhidos nesta revisão sistemática indicam que as intervenções
com objetivo estético aumentam a Qualidade de Vida. A Qualidade de Vida foi avaliada
através de instrumentos específicos (BREAST-Q), instrumentos genéricos (SF-36,
WHOQOL-BREF, FLZ M, FPI-R, RSES, PHQ-4) e por questionários construídos pelos
autores dos estudos. Em estudos futuros, é importante a avaliação de outras intervenções
estéticas, assim como, o estudo e criação de instrumentos específicos para as
intervenções. Outro possível estudo importante, será a avaliação do impacto das
intervenções estéticas em grupos do sexo masculino.
Introduction: According to International Society of Aesthetic Plastic Surgery, in 2020, blepharoplasty, liposuction and breast augmentation were the 3 main surgical procedures performed worldwide by plastic surgeries and application of botulinum toxin was the most common non-surgical procedure. Due to the demand for this type of aesthetic interventions, it is important to evaluate the outcomes of these interventions. Quality of Life is an important outcome to be evaluated in the speciality of Plastic, Reconstructive and Aesthetic Surgery. Objective: To study the impact that blepharoplasty, liposuction, breast augmentation and application of botulinum toxin have on the Quality of Life of those involved. It is also a purpose of this study, the way of evaluating the Quality of Life Study is carried out. Methodology: The research was carried out in Pubmed, B-on, ProQuest, Scopus, EBSCO and Repositório Científico de Acesso Aberto em Portugal (RCAAP) databases. However, the latter did not obtain results, so it was not included in the study. The search was restricted to articles written in english, spanish and portuguese and published between 2016 and 2022. The evaluation of the quality of the articles was performed using the research by Hawker et al. Articles that evaluated the impact of aesthetic interventions on Quality of Life were included. Results: From the database search, and exclusion of duplicate articles, 1067 articles were obtained. After reading the title and abstract, 1023 articles were excluded. 33 articles were excluded after the complete reading of the articles. The articles were from different countries. Most of the samples were composed of women. Regarding interventions, most articles address augmentation mammoplasty and no study addressed the application of botulinum toxin. Regarding of how the impact on Quality of Life was evaluated, 4 studies used questionaries wrote by the authors, BREAST-Q in 5 studies and Rosenberg Self-Esteem Scale (RSES) in 2 studies. The remaining instruments were used in only 1 study (WHOQOL-BREF, RSES, SF-36, Questions on Life Satisfaction, Modules (FLZ M); Freiburg Personality Inventory-Revised (FPI-R), Patient Health Questionnaire (PHQ-4)). The Quality of Life assessment was performed before and after the intervention in 5 studies and only postoperatively in 6 studies. The time in the postoperative period in which the questionnaires were applied varied greatly. The data demonstrated a positive impact on Quality of Life. Conclusion: The data collected in this systematic review indicate that interventions with an aesthetic objective increase the Quality of Life. Quality of Life was evaluated using specific instruments (BREAST-Q), generic instruments (SF-36, WHOQOL-BREF, FLZ-M, FPI-R, RSES, PHQ-4) and questionaries built by the authors of the studies. In future studies, it is important to study other aesthetic interventions, as well as the study and creation of specific instruments for interventions. Another important study will be an assessment of the impact of aesthetic interventions on male groups.
Introduction: According to International Society of Aesthetic Plastic Surgery, in 2020, blepharoplasty, liposuction and breast augmentation were the 3 main surgical procedures performed worldwide by plastic surgeries and application of botulinum toxin was the most common non-surgical procedure. Due to the demand for this type of aesthetic interventions, it is important to evaluate the outcomes of these interventions. Quality of Life is an important outcome to be evaluated in the speciality of Plastic, Reconstructive and Aesthetic Surgery. Objective: To study the impact that blepharoplasty, liposuction, breast augmentation and application of botulinum toxin have on the Quality of Life of those involved. It is also a purpose of this study, the way of evaluating the Quality of Life Study is carried out. Methodology: The research was carried out in Pubmed, B-on, ProQuest, Scopus, EBSCO and Repositório Científico de Acesso Aberto em Portugal (RCAAP) databases. However, the latter did not obtain results, so it was not included in the study. The search was restricted to articles written in english, spanish and portuguese and published between 2016 and 2022. The evaluation of the quality of the articles was performed using the research by Hawker et al. Articles that evaluated the impact of aesthetic interventions on Quality of Life were included. Results: From the database search, and exclusion of duplicate articles, 1067 articles were obtained. After reading the title and abstract, 1023 articles were excluded. 33 articles were excluded after the complete reading of the articles. The articles were from different countries. Most of the samples were composed of women. Regarding interventions, most articles address augmentation mammoplasty and no study addressed the application of botulinum toxin. Regarding of how the impact on Quality of Life was evaluated, 4 studies used questionaries wrote by the authors, BREAST-Q in 5 studies and Rosenberg Self-Esteem Scale (RSES) in 2 studies. The remaining instruments were used in only 1 study (WHOQOL-BREF, RSES, SF-36, Questions on Life Satisfaction, Modules (FLZ M); Freiburg Personality Inventory-Revised (FPI-R), Patient Health Questionnaire (PHQ-4)). The Quality of Life assessment was performed before and after the intervention in 5 studies and only postoperatively in 6 studies. The time in the postoperative period in which the questionnaires were applied varied greatly. The data demonstrated a positive impact on Quality of Life. Conclusion: The data collected in this systematic review indicate that interventions with an aesthetic objective increase the Quality of Life. Quality of Life was evaluated using specific instruments (BREAST-Q), generic instruments (SF-36, WHOQOL-BREF, FLZ-M, FPI-R, RSES, PHQ-4) and questionaries built by the authors of the studies. In future studies, it is important to study other aesthetic interventions, as well as the study and creation of specific instruments for interventions. Another important study will be an assessment of the impact of aesthetic interventions on male groups.
Description
Keywords
Blefaroplastia Lipoaspiração Mamoplastia de Aumento Qualidade de Vida Toxina Botulínica