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Updated: Dec 21, 2025

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Simple procedure to evaluate mid-face sagging: A pilot study from Taiwan.

Yin-Chun Chen1,2, Pei-Ling Chih1,2, Sheng-Yiao Lin1,2

  • 1Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

The Australasian Journal of Dermatology
|May 14, 2020
PubMed
Summary

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A new method objectively measures mid-face sagging by comparing supine and upright facial lines. Increased distance correlates with age and BMI, indicating sagging severity and potential anti-aging treatment effectiveness.

Area of Science:

  • Aesthetic medicine and dermatology
  • Biomechanical analysis of facial aging

Background:

  • Mid-face sagging is a significant indicator of facial aging.
  • Objective and reproducible methods for assessing mid-face sagging are needed.
  • Current assessment methods can be subjective and lack standardization.

Purpose of the Study:

  • To introduce a simple, objective method for evaluating mid-face sagging.
  • To correlate this measurement with aging factors like age and body mass index (BMI).
  • To assess the potential utility of this method in evaluating anti-aging treatments.

Main Methods:

  • Marking straight lines between the nasal alar and mandibular angle in supine and upright positions.
  • Measuring the maximal distance between these two lines.
Keywords:
evaluationmid-face saggingskin elasticity

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  • Performing statistical analysis to correlate the measured distance with age and BMI.
  • Main Results:

    • The maximal distance measurement demonstrated a positive correlation with age.
    • The maximal distance measurement showed a positive correlation with body mass index (BMI).
    • These correlations suggest the measurement reflects the degree of mid-face sagging.

    Conclusions:

    • This simple line-drawing method provides an objective assessment of mid-face sagging.
    • The method's correlation with age and BMI validates its use in quantifying sagging.
    • It holds potential for evaluating the efficacy of facial anti-aging interventions.