{
  "abstract": "Background\n\nLocal flaps are fundamental for reconstruction of facial defects after cutaneous tumor resection, yet perceived aesthetic success may differ among surgeons, patients, and the general public.Objectives\n\nTo investigate context-dependent aesthetic perception across facial regions and evaluator groups and its relationship with patient-reported FACE-Q outcomes.Methods\n\nTwenty-three patients undergoing local flap reconstruction after facial tumor resection were evaluated using preoperative and 12-month postoperative photographs. Overall, 203 evaluators-plastic surgeons, non-plastic surgeons, non-surgical physicians, and the general public-rated outcomes on a five-point scale, first using postoperative images alone and subsequently after viewing corresponding preoperative photographs. FACE-Q Face Overall, Natural Appearance, and Psychological Function scales were assessed preoperatively and postoperatively.Results\n\nPreoperative context resulted in significantly more critical ratings across perioral, periocular, and malar regions (all p<0.001). Perceptual shifts differed among evaluator groups in perioral (p=0.007) and periocular (p=0.015) regions, with plastic surgeons showing smaller shifts. FACE-Q Face Overall and Natural Appearance scores improved significantly postoperatively. A study-specific summary score derived from the three selected FACE-Q scales was significantly associated with general-public ratings (ρ = -0.56, p = 0.008).Conclusions\n\nAesthetic assessment after facial local flap reconstruction is context-dependent. Integrating FACE-Q patient-reported outcomes with public perception may provide a more patient-centered assessment of reconstructive success.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Plastic, Reconstructive and Aesthetic Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye.",
    "Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul University-Cerrahpasa, Istanbul, Türkiye."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ersin Yavuz"
    },
    {
      "affs": [
        1
      ],
      "name": "Esra Zeynep Kurtoğlu"
    },
    {
      "affs": [
        1
      ],
      "name": "Levent Demir"
    },
    {
      "affs": [
        1
      ],
      "name": "Alp Ercan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8kxva8k1dy9kz.bib",
  "cited_by": 0,
  "doi": "10.3389/fsurg.2026.1982895",
  "fulltext_url": "https://europepmc.org/articles/PMC13677837",
  "id": "8kxva8k1dy9kz",
  "issns": [
    "2296-875X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42898458",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Reconstructive Facial Surgery Techniques"
    ]
  ],
  "openalex": "W7220378276",
  "pdf_url": "https://europepmc.org/articles/PMC13677837?pdf=render",
  "pmcid": "PMC13677837",
  "pmid": "42898458",
  "published": "2026-10-05",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/8kxva8k1dy9kz.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:37Z",
      "native_id": "MED:42898458",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42898458"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Reconstructive Facial Surgery Techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Context-dependent aesthetic perception after facial local flap reconstruction for cutaneous malignancies: a multi-observer study integrating patient-reported outcomes and public perspective.",
  "title_text": "Context-dependent aesthetic perception after facial local flap reconstruction for cutaneous malignancies: a multi-observer study integrating patient-reported outcomes and public perspective.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:37Z",
  "url": "https://research.draconitic.com/paper/8kxva8k1dy9kz",
  "venue": "Frontiers in surgery",
  "versions": []
}