Validated Assessment Scales for the Lower Face

Narins, Rhoda S.; Carruthers, Jean; Flynn, Timothy C.; Geister, Thorin L.; Görtelmeyer, Roman; Hardas, Bhushan; Himmrich, Silvia; Jones, Derek; Kerscher, Martina; Maio, Maurício de; Mohrmann, Cornelia; Pooth, Rainer; Rzany, Berthold; Sattler, Gerhard; Buchner, Larry; Benter, Ursula; Breitscheidel, Lusine; Carruthers, Alastair

doi:10.1111/j.1524-4725.2011.02247.x

Cited by 117 publications

(133 citation statements)

References 31 publications

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“…As a result of the continuous movement of the face and the continuation of the process of aging, temporary wrinkles and contour alterations may become permanent (Dayan & Bassichis, 2008;Hamilton, 2009;Redborn et al, 2011;Flynn et al, 2012;Narins et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Composite synthetic hydroxyapatite 30%, in two physical states, as dermal filler

et al. 2013

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RESUMO Compósito de hidroxiapatita sintética 30%, em dois estados físicos, como preenchedor de relevo cutâneoObjetivou-se avaliar a resposta tecidual, após implantação de hidroxiapatita sintética 30% (HAP-91 ® ), em dois estados físicos, para preenchimento cutâneo. Foram utilizados 18 coelhos da raça Nova Zelândia, distribuídos aleatoriamente em dois grupos ® fluida e viscosa) e, posteriormente, divididos em três subgrupos, de acordo com o período pós-implante, em oito, 21 e 49 dias. Em cada grupo foi implantado 1,0 mL de HAP-91 ® , fluida ou viscosa, no tecido subcutâneo, 1 cm cranial à crista da escápula direita. Foi realizada a mensuração da espessura cutânea, imediatamente antes e durante 15 dias após a implantação do compósito. Avaliações de sensibilidade dolorosa foram realizadas, atribuindo-se os escores: 0 -quando o animal permitiu o toque e não manifestou reação; 1 -quando permitiu o toque, mas manifestou reação de dor, como aumento da frequência respiratória ou tentativa de fuga; 2 -quando não permitiu o toque. Aos oito, 21 e 49 dias, foi realizada a biópsia da região implantada. Não foi observada diferença entre a espessura cutânea dos animais (p > 0,05) e todos os animais receberam escore 0 para sensibilidade dolorosa. Na análise histológica, não foi notado processo inflamatório evidente. Houve predomínio de células mononucleares, nas amostras de oito dias, e uma organização tecidual ao redor do biomaterial, com tendência ao encapsulamento. A HAP-91 ® , tanto fluida quanto viscosa, é biocompatível e indicada para o preenchimento cutâneo.Palavras-chave: implante cutâneo, compósito, medicina estética. The aim of this study was to evaluate the response to the implantation of synthetic hydroxyapatite 30% (HAP-91 ® ) in different physical states as dermal filler. Eighteen New Zealand rabbits were used, distributed randomly into two equal groups and then divided into three groups according to the postoperative period at 8, 21 and 49 days. One mL of HAP-91 ® , fluid and viscous, was implanted in the subcutaneous tissue, 1 cm proximal to the cranial crest of the right scapula. The thickness of the skin was measured before and after implantation and for the following 15 days. Pain sensitivity assessment was conducted, assigning the following scores: 0 -when the animal allowed the touch of the implant area and expressed no signs of pain; 1 -when the animal allowed the touch, but pain reaction occurred, like increase of the respiratory rate or attempt to escape; 2 -when the animal did not allow the touch to the implanted area. At 8, 21 and 49 days, biopsy of the implanted area was performed. No difference was observed between the thickness of the skin (p>0.05) and all animals received a score 0 for soreness. Histological analysis did not reveal any obvious inflammatory process, showing a predominance of mononuclear cells in samples of eight days and tissue organization around the biomaterial with a tendency to encapsulation. The results indicate that HAP-91 ® , both viscous and fluid, is biocompatible...

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Section: Introductionmentioning

confidence: 99%

Composite synthetic hydroxyapatite 30%, in two physical states, as dermal filler

et al. 2013

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“…The rationale was that these areas had validated scales based on objective criteria that had been developed through joint collaboration between various aesthetic specialists including dermatologists, oculoplastic surgeons, and plastic surgeons at interdisciplinary and international conferences. The collaboration used to create these scales indicates both an applicability and usability among various specialties [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…Using the descriptions previously noted in the McCollough Facial Rejuvenation System and a series of photo numerical scales rated from 0-4 that had been previously validated [4][5][6][7], points were assigned to each stage (Table 1). For example, the patient who falls into a stage I would only have slight adiposity, usually seen in the jowl and submandibular regions.…”

Section: Methodsmentioning

confidence: 99%

“…Other systems have been designed as scales to measure the aging face and the response to non-invasive cosmetic procedures such as filler injections and neuromodulators. Five-point photo numeric scales to assess brow position [3,4], forehead wrinkles [3,4], melolabial folds [3,5], marionette lines [3,5], jowls [5], and neck [6] have been developed and validated. Although not necessarily designed for preoperative surgical evaluation, these validated scales assess many of the same components as the McCollough Facial Rejuvenation System.…”

Section: +mentioning

confidence: 99%

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Establishing Objectivity in the McCollough Facial Rejuvenation System

McCollough¹

2016

OHNS

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“…In particular, recently published photographic scales allow an investigator to compare a subject's anatomic features against an ordinal array of standard photographs to determine which is most closely representative [14][15][16][17][18]. The number or word associated with this best-fit photograph is recorded.…”

Section: Dearth Of Standardized and Validated Outcome Measuresmentioning

confidence: 99%

Rationalizing Outcome Measures in Dermatologic Surgery

et al. 2015

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Dermatologic surgery, including cancer surgery, cosmetic surgery, and laser and energy device procedures, is a well-established branch of dermatology known for minimally invasive, effective, and safe solutions to patient problems. Over time, clinical research pertaining to dermatologic surgery has improved in terms of methodologic rigor, with dermatologic surgery accounting for a large proportion of the comparative effectiveness studies and randomized controlled trials in dermatology. Further improvements in the quality of studies examining dermatologic surgery therapies will require understanding and overcoming several remaining challenges.

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Validated Assessment Scales for the Lower Face

Abstract: Our rating scales are reliable tools for valid and reproducible assessment of the aging process in lower face areas.

Cited by 117 publications

References 31 publications

Composite synthetic hydroxyapatite 30%, in two physical states, as dermal filler

Composite synthetic hydroxyapatite 30%, in two physical states, as dermal filler

Establishing Objectivity in the McCollough Facial Rejuvenation System

Rationalizing Outcome Measures in Dermatologic Surgery

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