Objective To evaluate the capacity of the automatic detection system to accurately grade, from smartphones' selfie pictures, the severity of seven new facial signs added to the nine previously integrated. Methods A two‐step approach was conducted: first, to check on 112 Korean women, how the AI‐based automatic grading system may correlate with dermatological assessments, taken as reference; second, to confirm on 1140 women of three ancestries (African, Asian, and Caucasian) the relevance of the newly input facial signs. Results The sixteen specific Asian facial signs, detected automatically, were found significantly (P < .0001) highly correlated with the clinical evaluations made by two Korean dermatologists (wrinkles: r = .90; sagging: r = .75‐.95; vascular: r = .85; pores: r = .60; pigmentation: r = .50‐.80). When applied at a larger scale on women of different ethnicities, new signs were found of good accuracy and reproducibility, albeit depending on ethnicity. Due to contrast with the innate skin complexion, the facial signs dealing with skin pigmentation were found of a much higher relevance among Asian women than African or Caucasian women. The automatic gradings were even found of a slightly higher accuracy than the clinical gradings. Conclusion The previously used automatic grading system is now completed by adding new facial signs apt at being detected. The continuous development is now integrating some limitations with regard to the constitutive skin complexion of the self‐pictured subjects. Presenting reproducible assessments, highly correlated with medical grading, this system could change tremendously clinical researches, like in epidemiological studies, where it offers an easy, fast, affordable, and confidential approach in the objective quantification of facial signs.

Objectives: To evaluate the impact of Facial radiance or Glow on the perception of age (PA) and to assess which facial signs most influence PA. Material and Methods:The faces of 1058 differently aged women (18-80 years) of six different ethnicities/countries (China, Japan, Korea, India, South Africa, and Brazil) were photographed under standard conditions. These allowed to focus on 20 different facial signs that were further graded by experts, using referential Atlases dedicated to facial aging. In each of the six countries, 100 local women were recruited as naïve panels to express their perceptions on Glow and Age on each fullface photograph (blind coded) of the local studied woman. Results: A decreased Glow/Radiance appears clearly associated with an increased perceived age in all studied subjects, especially among Chinese, Japanese, and South African women. With regard facial signs, Skin texture (Wrinkles of all kinds), Ptosis/ Sagging, and Pigmentation signs prevail in almost all women at the exception of South African women where Pigmentation signs and Cheek skin pores largely predominate in the perception of both Glow and PA. Pigmentation signs are of a very high weight among Chinese and Japanese women. Conclusion:Despite some collective agreements, the present study shows some specificities within the women of the six ethnicities/countries. PA, a core index of antiaging strategies, goes along with facial Glow in almost all studied women. The duller the facial skin, the older it is perceived.

Objective: To determine the respective weights of certain facial signs on the assessment of perceived age and plumpness on Korean women of different ages. Material and Methods: Photographs were taken of the faces of 112 Korean women of different ages (18-80 years) under standardized conditions. These photographs allowed to focus and define 19 facial signs, which were then graded by 15 experts and dermatologists, using standardized scales provided by a reference Skin Aging Atlas. The facial signs were dispatched into 5 clusters, namely Wrinkles/Texture, Ptosis/ Sagging, Pigmentation disorders, Vascular disorders, and Cheek skin pores. A naïve panel, composed of 92 Korean women, of similar age range were asked, when viewing full-face photographs, to: (a) attribute on a 0-10 scale their perception of the skin plumpness (ie supple/hydrated/nourished) and (b) estimate the age of the subject. Results: With the exception of Vascular disorders, the severity of all 4 clusters increased with age, although at different rates. The Wrinkles/Texture or Ptosis/ Sagging showed a rather regular progression. Although perceived ages and real ages were found highly correlated, half of the subjects were judged older by 2-12 years. The facial signs/clusters were significantly correlated with perceived age, with the exceptions of vascular disorders, size of pigmentary spots and cheek skin pores. The weights in perceived ages of Wrinkles/Texture and Ptosis/Sagging represent 37% each and Pigmentation disorders at 26%. Skin plumpness was logically found significantly anti-correlated with perceived age. If, surprisingly, Vascular disorders were found not impacting the plumpness aspect, Cheek skin pores presented a clear influence. Conclusion: Within facial clinical clusters, Wrinkles/Texture, Ptosis/Sagging, and Pigmentation disorders are major factors in the assessment of perceived age in Korean women. The perception of a decreased skin plumpness is significantly associated with increased perceived age.

Objectives: To determine the respective weights of certain facial signs on the assessment of the perceived age and a tired-look on Korean men of different ages.Material and Methods: Photographs were taken of the faces of 101 Korean men (20-80 years) under standardized conditions. These photographs allowed to define 16 signs, which were then graded by 15 experts/dermatologists, using standardized scales provided by a referential Skin Aging Atlas. These signs were dispatched into 5 clusters, namely Wrinkles/Texture, Ptosis/Sagging, Cheek pores, Pigmentation, and Vascular signs. A naïve panel of 200 Korean individuals (100 women, 100 men), of similar age range, were asked, when viewing full-face photographs, to (a) attribute on a 0-10 scale their perception of a tired-look and (b) estimate the age of the subject. Results:The severity of all clusters increased with age, although at different rates. The Wrinkles/Texture or Ptosis/Sagging showed a rather regular progression, whereas Vascular presented the weakest changes. Although perceived and real ages were found highly correlated, almost 85% of the subjects were judged older by 1-15 years. The signs/clusters were found significantly correlated with perceived age, highly for Wrinkles/Texture and Ptosis/Sagging, moderate for Pigmentation, and low for Vascular and Cheek pores. The weights in perceived ages of Wrinkles/Texture and Ptosis/Sagging represent 81% and Pigmentation at 19%. Facial tired-look of Korean men was found significantly correlated with perceived age. Although Vascular and Cheek pores were found not impacting, Wrinkles/Texture, Ptosis/Sagging, and Pigmentation presented a clear influence. Conclusion: Within facial clusters, Wrinkles/Texture, Ptosis/Sagging, and Pigmentation are major factors in the assessment of perceived age in Korean men. The perception of an increased tired-look is significantly associated with increased perceived age. K E Y W O R D S facial signs, Korean men, perceived age, skin aging atlas, tired-lookThe facial aging experienced by Asian men is scarcely documented, [1][2][3][4] especially in Korean subjects despite their vivid expectation for aesthetics, 5-9 in line with a boom of global grooming market in Asia. Hence, understanding the factors that drive the perception of appearance of men of different ethnicities [10][11][12] is essential to propose the most adapted cosmetic strategies to different desires or cultures. These factors primarily concern many facial signs or clusters (Wrinkles, Ptosis, Pigmentation signs, etc), the severity of which shows different rates of development along the aging process 3,11,12 at the individual level, conditioned by genetic, sun exposure, life style habits, etc. Such slow and progressive changes in the aspect of the human face obviously influence the spontaneous perception of age by "the others." This perceived age (PA) appears as a critical element since owning personal, social, psychosocial, or biological impacts [13][14][15][16][17] in most cultures, making humans appearing older or younge...