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Related Experiment Video

Updated: Mar 14, 2026

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry
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Facial Laxity Rating Scale Validation Study.

Hector G Leal Silva1

  • 1Division of Health Sciences, University of Monterrey, Monterrey, Mexico.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|September 28, 2016
PubMed
Summary
This summary is machine-generated.

A new Facial Laxity Rating (FLR) scale reliably quantifies facial and neck laxity. This validated tool aids in assessing age or treatment-related changes in skin firmness.

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Area of Science:

  • Aesthetic medicine and dermatology
  • Facial analysis and aging
  • Medical assessment tools

Background:

  • Facial and neck laxity is influenced by age, weight, and procedures.
  • A validated scale for assessing facial and neck laxity is currently lacking.
  • Standardized terminology for the firmness-laxity spectrum is needed.

Purpose of the Study:

  • To develop and validate the Facial Laxity Rating (FLR) scale.
  • To create a simplified tool for measuring facial and neck laxity.
  • To establish a reliable classification for skin laxity.

Main Methods:

  • The FLR scale assesses 4 signs (eyelid folds, nasojugal folds, jowls, neck profile) across 4 facial/neck regions.
  • 7 independent physician scorers were trained on the FLR scale.
  • 188 ratings were collected and analyzed for inter-rater reliability.

Main Results:

  • The FLR scale demonstrated strong inter-rater agreement (kappa = 0.77).
  • Mean agreement for laxity class was 0.78.
  • Scorer agreement with the truth standard was high at 92.53%.

Conclusions:

  • The Facial Laxity Rating (FLR) scale is validated as a reliable instrument.
  • The FLR scale provides quantitative assessment of facial and neck laxity.
  • This tool can be used for chronological or treatment-related laxity evaluation.