{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:28:27Z","timestamp":1790022507346,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR002014"],"award-info":[{"award-number":["UL1 TR002014"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>During the COVID\u201019 pandemic, elective surgeries faced cancelations due to quarantine measures. The objective of this study was to assess facial plastic and reconstructive surgery (FPRS) volume before, during, and after the height of the pandemic on a national scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The TriNetX Research Network identified 68,101,098 individuals aged 18+ with healthcare interactions from 2017 to 2022. Rates of common FPRS surgeries and procedures were compared during March\u2013August of each year, aligning with the pandemic lockdown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to immediately before the pandemic in 2019, the 2020 pandemic peak saw an overall surgical volume reduction of \u221236.8%, with specific surgeries decreasing significantly: rhinoplasty (\u221228.6%), septoplasty (\u221234.0%), rhytidectomy (\u221254.9%), blepharoplasty (\u221240.7%), brow lift (\u221243.8%), ectropion\/entropion repair (\u221235.6%), repair of blepharoptosis (\u221245.6%), correction of lagophthalmos (\u221229.9%), correction of lid retraction (\u221236.8%), and lipectomy (\u221241.8%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). The procedural volume also decreased by 28.6%, encompassing reductions in various procedures: botulinum toxin A (\u221218.7%), facial filler (\u221240.7%), dermabrasion (\u221262.3%), chemical peel (\u221236.6%), and intralesional injection (\u221233.3%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). In contrast to 2020, 2021 witnessed an increase of +75.0% in total surgical and +61.3% procedural volume: rhinoplasty (+81.0%), septoplasty (+74.7%), rhytidectomy (+143.4%), blepharoplasty (+81.7%), brow lift (+64.5%), ectropion\/entropion repair (+55.2%), repair of blepharoptosis (+62.7%), correction of lagophthalmos (+39.0%), correction of lid retraction (+73.0%), lipectomy (+121.2%), botulinum toxin A (+52.4%), filler (+59.6%), dermabrasion (+91.8%), chemical peel (+78.8%), and intralesional injection (+67.3%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). In 2022, rates of total surgeries (+8.5%) and procedures (+12.8%) surpassed pre\u2010pandemic levels from 2019 (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FPRS experienced significant pandemic\u2010induced decreases, followed by a notable recovery in subsequent years, with certain surgeries and procedures surpassing pre\u2010pandemic levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.1292","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T19:13:27Z","timestamp":1718133207000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of <scp>COVID<\/scp>\u201019 on facial plastic surgery volumes: A large database analysis of pre\u2010 and post\u2010pandemic trends"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5902-7054","authenticated-orcid":false,"given":"F. Jeffrey","family":"Lorenz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5616-7260","authenticated-orcid":false,"given":"Andrew J.","family":"Rothka","sequence":"additional","affiliation":[{"name":"College of Medicine The Pennsylvania State University  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather K.","family":"Schopper","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessyka G.","family":"Lighthall","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.02.034"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037\u2010021\u201000293\u20107"},{"key":"e_1_2_9_4_1","unstructured":"MoranML.AAFPRS statement on COVID\u201019.2020Accessed September 1 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