Efficacy of Laser Resurfacing and Facial Plastic Surgery Using Age, Glogau, and Fitzpatrick Rating

Abstract

Background:To assess clinical outcomes based on established rating scales in patients who underwent treatment for rhytids using laser resurfacing with and without facial plastic surgery.Methods:Retrospective case review of 48 patients treated by the senior author (J.E.B) between 2009 and 2016. Three reviewers assigned ratings to a total of 48 patients using estimated age and Fitzpatrick, Modified Fitzpatrick, and Glogau scales. Reviewers were blinded to patient demographics and before and after photographs. Patients elected to receive laser-only treatment or combination laser plus facial plastic surgery. Participants included forty-eight patients were selected on the basis that they had either laser treatment alone or laser plus facial plastic surgery and pre- and postoperative photographs.Results:Patients with higher Fitzpatrick scores had a greater reduction in Glogau score (ß = 1.66; SE = 0.59; P < 0.01). With respect to modified Fitzpatrick scores after surgery, patients with higher Glogau scores of 3 or 4 before surgery (P < 0.01) had higher scores after surgery ((ß = 0.07; SE = 0.02; P < 0.01). For estimated age, the average change was -1.7 years after laser resurfacing (P = 0.038; 95% CI, 2.96–3.06 years) and -2.07 years when combined with surgery (P = 0.01; 95% CI, 2.89–3.19 years).Conclusions:Patients with Fitzpatrick scores of 3, 4, 5, younger patients, and those with less rhytids before surgery tended to have lower Glogau scores after surgery. These findings provide insight on an approach to treating ethnic skin and aging face concerns.

Long Term Effects of Combination of Metabolite Product Amniotic Membrane Stem Cell (MP-AMSC) and Vitamin C after Fractional CO2 Laser for Photoaging Treatment

“…The age range was 50.50 ± 5.322, which was in line with a study on skin rejuvenation using a fractional CO 2 laser study by Barerra et al The study showed that the age range of 48 patients was 38-66 years. 19 The Glogau scale results showed that six subjects (20%) were in Glogau II, and twenty-four subjects (80%) were in Glogau III. We chose the Glogau scale because it is the easiest and most frequently used assessment criteria.…”

Combined therapy with Endoret‐Gel and plasma rich in growth factors vs Endoret‐Gel alone in the management of facial rejuvenation: A comparative study

“…Inclusion criteria included: patients between the ages of 30 and 75 with clinically diagnosed signs of aged skin, presence of slight to moderate facial wrinkles (Glogau's grade I‐II) 14 and that have not been treated with any other cutaneous treatment for six months. Exclusion criteria included: pregnant or lactating patients, with active inflammation in the intervention area, systemic infections, cancerous lesions for five years before the beginning of the treatment, with connective tissue disease or a history of rheumatic disorders, hematological alterations, current treatment with immunosuppressants or anticoagulants, presence of permanent facial implants and allergy to hematological derivatives.…”

“…Inclusion criteria included: patients between the ages of 30 and 75 with clinically diagnosed signs of aged skin, presence of slight to moderate facial wrinkles (Glogau's grade I-II) 14…”