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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 lower face.

Rhoda S Narins1, Jean Carruthers, Timothy C Flynn

  • 1Department of Dermatology, New York University School of Medicine, 222 Westchester Avenue, White Plains, NY 10604, USA. rsnmd@worldnet.att.net

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|February 10, 2012
PubMed
Summary
This summary is machine-generated.

New rating scales reliably assess lower face aging, including wrinkles and sagging. These validated tools provide objective standards for clinical research and practice in evaluating lower facial aesthetics.

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Area of Science:

  • Aesthetic medicine
  • Dermatology
  • Gerontology

Background:

  • Facial aging causes lines, wrinkles, lip changes, and jawline sagging.
  • Objective standards are needed for assessing lower face aging in research and practice.

Purpose of the Study:

  • To establish the reliability of eight scales for assessing lower face aging.
  • Scales evaluate nasolabial folds, marionette lines, lip fullness, lip wrinkles, oral commissures, and jawline.

Main Methods:

  • Development of four 5-point rating scales for wrinkles, oral commissures, and jawline.
  • Twelve experts rated 50 subjects' lower face photographs across two cycles using eight scales.
  • Assessment of inter- and intrarater reliability.

Main Results:

  • Substantial to almost perfect interrater reliability for all scales and lower face areas.
  • High intrarater reliability across all assessed scales and aesthetic areas.
  • Validated scales demonstrate reproducibility in assessing lower facial aging.

Conclusions:

  • Developed rating scales are reliable tools for assessing lower face aging.
  • Scales enable valid and reproducible evaluation of aesthetic areas and the lower face unit.
  • These tools support objective assessment in clinical research and practice.