Measuring Outcomes of Facial Skin Cancer Surgery Using the FACE-Q Skin Cancer Module

Background: Facial skin cancer and surgical removal can alter appearance, contributing to patient morbidity through effects on self-perception and psychosocial well-being. This study aimed to assess the impact of surgical intervention on appearance and health-related quality of life before and after surgery. Methods: A single-center, prospective cohort study of 108 participants undergoing facial skin cancer surgery was conducted between November 2021 and December 2023. Participants completed the FACE-Q Skin Cancer questionnaire preoperatively up to 12 months postoperatively. Statistical significance was defined as P < 0.05. Results: A total of 105 participants completed the preoperative questionnaires, with 101, 96, 93, and 76 completing questionnaires at 1, 3, 6, and 12 months postoperatively. Postoperatively, participants were more satisfied with their facial appearance and reported improvements in appearance-related distress. Significant improvements ( P < 0.001) were shown in cancer worry, appraisal of scars, sun protection behaviors, and adverse effects. Younger age (