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Anatomical-Functional-Aesthetic Classification of Cervical Aging: Development of the S-F-M Score and Visual Mandala
Gladstone Eustaquio de Lima Faria1, Shannon Humphrey2
1Private Clinic, Rua Alves Guimarães, 462-Sala 31, São Paulo, SP, 05410-000, Brazil. gladstonefaria@hotmail.com.
Aesthetic Plastic Surgery
|October 8, 2025
Summary
The S-F-M Score offers a new way to assess aging in the neck by evaluating skin, fat, and muscle. This visual model helps doctors choose personalized treatments for a more youthful appearance.
Area of Science:
- Aesthetic medicine and dermatology.
- Anatomy and aging research.
Background:
- Cervical aging involves skin, fat, and muscle changes, often assessed separately.
- Existing tools lack a unified approach to cervical aging assessment.
- A comprehensive model is needed for diagnosis and treatment planning.
Purpose of the Study:
- To introduce a unified anatomical-functional classification system for cervical aging.
- To integrate skin (S), fat (F), and muscle (M) axes into a visual mandala model.
- To facilitate personalized treatment strategies for neck rejuvenation.
Main Methods:
- Literature review of existing cervical classification scales.
- Development of the S-F-M Score (0-3 for each axis).
- Creation of a visual mandala diagram for phenotype representation.
Main Results:
- The S-F-M Score provides modular and reproducible cervical aging assessment.
- The mandala model visually highlights dominant aging vectors.
- Tailored treatments (biostimulators, lipolysis, botulinum toxin) are guided by the score.
Conclusions:
- The S-F-M system is an integrative tool for cervical aesthetic evaluation.
- It aligns clinical diagnosis with anatomical targets for individualized treatment.
- This model supports standardization in clinical practice and research.
