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Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry

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Published on: December 9, 2025

Validated assessment scales for the mid face.

Jean Carruthers¹, Timothy C Flynn, Thorin L Geister

¹Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, BC, Canada. drjean@carruthers.net

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]

|February 10, 2012

Summary

This summary is machine-generated.

New grading scales reliably assess age-related mid face volume loss and cheek fullness. These tools improve objective evaluation for aesthetic treatments and clinical research.

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Area of Science:

Aesthetic medicine
Facial anatomy
Medical imaging analysis

Background:

Growing demand for aesthetic treatments for age-related mid face volume loss.
Need for standardized, objective assessment tools in aesthetic medicine.
Increasing patient expectations necessitate advanced evaluation methods.

Purpose of the Study:

Develop and validate three grading scales for objective mid face assessment.
Evaluate infraorbital hollow and cheek fullness (upper and lower).
Establish reliability for clinical research and practice.

Main Methods:

Development of three 5-point rating scales for objective assessment.
Rating of 50 subjects' mid face photographs by 12 experts in two cycles.
Analysis of intra- and interrater reliability using statistical methods.

Main Results:

Substantial interrater reliability for infraorbital hollow and cheek fullness scales.
High intrarater reliability across all three scales.
Improved reliability for cheek fullness assessment using three views versus two.

Conclusions:

The developed mid face scales are reliable for assessing age-related changes.
These scales provide valid and reproducible evaluations.
The tools support objective assessment in clinical research and practice.