Validated 5‐point photonumeric scales for the assessment of the jowls and chin

Pooth, Rainer; Prinz, Valentina; Cajkovsky, Mia; Green, Jeremy B.; Hernandez, Claudia A; Pavicic, Tatjana; Mueller, Daniel S.; Sattler, Sonja; Klepetko, Heike; Fabi, Sabrina G.; Day, Doris; Suwanchinda, Atchima; Cotofana, Sebastian; Frank, Konstantin

doi:10.1111/jocd.14661

Cited by 9 publications

(4 citation statements)

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“…Although scales classically originate from the clinical study setting, have been the only tool to measure efficacy in aesthetic medicine for a long time, and are still considered the gold standard, the use of scales has also gained popularity in the clinical setting. [13][14][15] By showing a patient his initial forehead line severity upon rest (static) and eye-brow elevation (dynamic) a physician can properly discuss the possibilities and the anticipated outcome of a treatment with the patient, which facilitates communication overall. At the same time, it is a useful tool to manage expectations with the patient, as very severe static forehead lines will not become mild static forehead lines with the use of botulinum toxin within a time frame of a couple of weeks.…”

Section: Discussionmentioning

confidence: 99%

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Novel Validated Five-point Photonumeric Scales for Assessment of Static and Dynamic Forehead Lines

Lim,

Kerscher,

Ogilvie

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The objective of this investigation was to create and validate five-point photonumeric scales which assess static and dynamic forehead lines. Methods: Two different novel five-point photonumeric scales for the assessment of static and dynamic forehead lines were developed. Moreover, a photoguide was created, including subjects from both sexes, all age groups, and different Fitzpatrick skin types. A total of 11 raters from all over the world were involved in the digital validation, whereas four raters performed a live validation. Results: The Croma Static Forehead Lines–Assessment Scale showed almost perfect inter and intra-rater agreement in both the digital and the live setting with inter-rater intraclass correlation coefficients of 0.86 [95% confidence interval (CI): 0.82–0.89] in the first digital rating and 0.82 [95% CI: 0.78–0.86] in the second digital rating. The Croma Dynamic Forehead Lines–Assessment Scale showed almost perfect inter and intra-rater agreement in the digital setting with inter-rater intraclass correlation coefficients of 0.83 [95% CI: 0.79–0.86] in the first digital rating and 0.80 [95% CI: 0.75–0.84] in the second rating and almost substantial agreement in the live setting. Conclusions: The Croma Static Forehead Lines–Assessment Scale and the Croma Dynamic Forehead Lines–Assessment Scale have excellent inter and intra-rater agreements to be justifiably used in the clinical and study setting, both digitally and live across ethnic groups.

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Section: Discussionmentioning

confidence: 99%

“…The creation and validation of the Croma Static Forehead Lines-Assessment Scale and the Croma Dynamic Forehead Lines-Assessment Scale were performed according to a previously published protocol. [13][14][15]…”

Section: Methodsmentioning

confidence: 99%

Novel Validated Five-point Photonumeric Scales for Assessment of Static and Dynamic Forehead Lines

Lim,

Kerscher,

Ogilvie

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…The inclusion criteria for nasolabial fold severity ranged from mild to extreme, following Kopera et al, 10 and for jawline sagging, it ranged from mild to very severe, as per Pooth et al 11 The treatment direction primarily targeted the superior and lateral areas of the face, especially for the nasolabial fold and jowl fat approaching from the skin surface. Each participant underwent up to three treatments at 3‐week intervals.…”

Section: Methodsmentioning

confidence: 99%

Using multiple wavelengths in order to improve the facial contouring procedure by the lipolysis and sculpting

Choi,

2023

J of Cosmetic Dermatology

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BackgroundThe process of fat redistribution during aging is well‐known to fat accumulation toward inferior and medial areas of the face. Utilizing laser devices with simultaneous multiple wavelengths has been employed for fat lipolysis and body and facial sculpting.Materials and MethodsThe study is case series that had been taken over 10 women (24–45 years old) participated in this study to address fatty tissue redistribution with aging, which was treated using a triple‐wavelength laser (755, 810, and 1064 nanometers) device (Soprano Titanium, Alma, Israel). Each participant underwent up to three treatments at three‐week periods and was followed up for 6 months after the last treatment. Clinical photographs were taken before and after the treatments to evaluate the efficacy.ResultsThe 10 participants scored a satisfaction result with the GAIS and the VAS scores, measuring pain perception during the procedure. Only two patients experienced minor pain during treatment, and no participants reported significant side effects.ConclusionEmploying a laser device with multiple wavelengths would represent an innovative approach, offering the advantage of no downtime and a painless procedure for facial contouring treatments.

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“…The cascading impact of this approach on adjacent areas can be substantiated through clinical examples. For example, filler injections in the zygomatic area influence the nasolabial folds, injections in the nasolabial folds impact the upper lip, and injections in the front cheek area alter the appearance of the lower lip 34–37 . Similarly, filler placement in the prejowl and lateral cheek areas respectively affect the chin tip and jawline, demonstrating interconnected lifting effects (Figure 10).…”

Section: Introductionmentioning

confidence: 99%

Skin & SMAS layer remodeling technique (SSRT): Achieving both volume and lifting effects with filler treatments

Hong,

2024

Skin Research and Technology

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BackgroundThe skin & SMAS layer remodeling technique (SSRT) represents a significant advancement in facial aesthetic treatments. Traditional methods primarily address wrinkles and volume loss, whereas SSRT focuses on achieving both volume and natural lifting effects through strategic filler injections. This technique emphasizes the anatomical and dynamic properties of facial tissues, particularly the SMAS, to enhance facial symmetry and contours while maintaining natural movement.Materials and MethodsSSRT employs a combination of firm and soft hyaluronic acid fillers to sculpt a youthful, dynamic appearance, simulating the natural lift of a smiling expression. This study explores the effects of gravity on facial tissues and uses advanced imaging techniques to corroborate the shifting of tissues. The technique is compared with other recognized methods, such as true lift and myomodulation, to evaluate its effectiveness in balancing volume enhancement and dynamic facial expressions.ResultsThe results indicate that SSRT uniquely balances volume enhancement and dynamic facial expressions, achieving a visibly lifted but natural appearance. The use of advanced imaging techniques substantiates SSRT's effectiveness by showing the shifting of tissues. SSRT reduces the risks associated with excessive filler use and aligns with contemporary aesthetic preferences.ConclusionSSRT offers a novel approach by mimicking the facial lift observed when lying down, providing insights into potential transformative “lifts” when upright. By strategically combining firm and soft hyaluronic acid fillers, SSRT achieves a balance of volume and lift, enhancing facial symmetry and maintaining natural movement. This technique represents a significant advancement in facial aesthetic treatments, offering a natural and dynamic alternative to traditional methods.

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Validated 5‐point photonumeric scales for the assessment of the jowls and chin

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution-NonCo mmercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 9 publications

References 21 publications

Novel Validated Five-point Photonumeric Scales for Assessment of Static and Dynamic Forehead Lines

Novel Validated Five-point Photonumeric Scales for Assessment of Static and Dynamic Forehead Lines

Using multiple wavelengths in order to improve the facial contouring procedure by the lipolysis and sculpting

Skin & SMAS layer remodeling technique (SSRT): Achieving both volume and lifting effects with filler treatments

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