Klassen AF; Cano S; Pusic AL


Basic description

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Published in 2010, for the first development, then in 2013 for the first actual scales.

The full list of scales is presented in the 'Review Copy' section.

There are 4 ‘categories’ or 'core families' of scales:

  • Quality of Life Scales (10 scales)
  • Appearance Scales (23 scales)
  • Adverse Effect Checklists (6 scales)
  • Patient Experience of Care Scale (4 scales)

The FACE-Q is made of more than 40 independently functioning scales and checklists. Several new scales are under development.

Dr Pusic, Dr Klassen, Dr Cano and colleagues have also developed a set of highly specific and unique PRO instruments as follows:

New PRO instruments under development include the following:

  • FACE-Q Kids for conditions associated with a facial difference
  • FACE-Q module for facial paralysis
  • EAR-Q for ear conditions, eg prominent ears, microtia
  • CHEST-Q for male chest surgery
  • WOUND-Q for acute and chronic wounds
  • SCAR-Q for surgical and traumatic scars

Klassen AF; Cano S; Pusic AL

FACE Q @ Memorial Sloan Kettering Cancer Center, Anne Klassen and Stefan Cano 2009
To measure appearance, quality of life and experience of health care among patients undergoing any type of surgical or nonsurgical facial aesthetic treatment.
Therapeutic area
  • Psychological Phenomena
Therapeutic indication


Experience and outcomes of aesthetic facial procedures
Type of Clinical Outcome Assessment (COA)
  • pro PRO
Original language(s)
  • English for the UK, USA & Canada
84 translation(s)
Bibliographic reference(s) of the original questionnaire

Development of FACE-Q scales

Klassen AF, Cano SJ, Scott A, Snell L, Pusic AL. Measuring patient-reported outcomes in facial aesthetic patients: development of the FACE-Q. Facial Plast Surg. 2010 Aug;26(4):303-9 (PubMed Abstract)

Appearance Scales and Adverse Effect Checklists 

Klassen AF, Cano SJ, Schwitzer J, Pusic AL. Development and Psychometric Validation of FACE-Q Skin, Lips and Facial Rhytides Appearance Scales and Adverse Effect Checklists for Cosmetic Procedures. JAMA Dermatol. 2016 March 2. 2016;152(4):443-51 (PubMed Abstract)

Klassen AF, Cano SJ, East CA, Baker SB, Badia L, Schwitzer JA, Pusic AL. Development and Psychometric Evaluation of the FACE-Q Scales for Patients Undergoing Rhinoplasty. JAMA Facial Plast Surg. 2016 Jan-Feb;18(1):27-35 (PubMed Abstract)

Klassen AF, Cano SJ, Scott AM, Pusic AL. Measuring outcomes that matter to facelift patients: development and validation of FACE-Q Appearance Appraisal Scales and Adverse Effects Checklist for the lower face and neck. Plast Reconstr Surg. 2014;133(1):21-30 (PubMed Abstract)

Pusic AL, Klassen AF, Scott AM, Cano SJ. Development and psychometric evaluation of the FACE-Q satisfaction with appearance scale: a new patient-reported outcome instrument for facial aesthetics patients. Clin Plast Surg. 2013 Apr;40(2):249-60 (PubMed Abstract)

Quality of Life Scales

Klassen AF, Cano SJ, Alderman A, East C, Badia L, Baker SB, Robson S, Pusic AL. Self-Report Scales to Measure Expectations and Appearance-Related Psychosocial Distress in Patients Seeking Cosmetic Treatments. Aesthet Surg J. 2016 May 24. pii: sjw078. [Epub ahead of print] (PubMed Abstract)

Klassen AF, Cano SJ, Schwitzer J, Scott A, Pusic AL. FACE-Q scales for health-related quality of life, early life impact and satisfaction with outcomes and decision to have treatment: development and validation. Plast Reconstr Surg. 2015;135:375-86 (PubMed Abstract)

Panchapakesan V, Klassen AF, Cano SJ, Scott AM, Pusic AL. Development and Psychometric Evaluation of the FACE-Q Aging Appraisal Scale and Patient-Perceived Age Visual Analog Scale. Aesthetic Facial Surgery, 2013; 33:1099-1109 (PubMed Abstract)

Patient Experience of care Scales

Klassen AF, Cano SJ, Alderman A, Soldin M, Thoma A, Robson S, Kaur M, Papas A, Van Laeken N, Taylor VH, Pusic AL. The BODY‐Q: A Patient‐Reported Outcome Instrument for Weight Loss and Body Contouring Treatments. Plast Reconstr Surg Glob Open. 2016 April 13; 4(4):e679 (PubMed Full text article)

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