title: The Fabi-Bolton chest wrinkle scale: a pilot validation study.
abstract: Up until now, no objective scale has existed to evaluate chest wrinkles and assess the efficacy of treatment. This study was designed to validate a new photonumeric wrinkle assessment scale using standardized photographic methodology to obtain reference photographs. Multiple photographs from 28 volunteer subjects with varying degrees of chest wrinkles were evaluated by a study team of two independent physicians. Photographs of 16 subjects representing the full spectrum of chest wrinkle severity were selected and classified using the Fabi-Bolton (F-B) 5-point wrinkle scale (1 = wrinkles absent; 2 = shallow but visible wrinkles; 3 = moderately deep wrinkles; 4 = deep wrinkles, with well-defined edges; 5 = wrinkles very deep with redundant folds). One representative photograph was chosen by study team consensus for each of the five scale points. A second, independent group of evaluators rated the randomly arranged photographs using the F-B wrinkle scale. The numeric results were then tabulated and compared. The F-B wrinkle scale provided a reproducible and effective method for assessing chest wrinkles with very little interrater variability. The F-B wrinkle scale is a reliable tool for the classification of chest wrinkles and evaluation of therapeutic and cosmetic interventions.
authors.affiliation: Goldman Butterwick Fitzpatrick Groff & Fabi, Cosmetic Laser Dermatology, San Diego, California 92121, USA. sfabi@gbkderm.com
authors.forename: Sabrina
authors.initials: S
authors.lastname: Fabi
authors.forename: Joanna
authors.initials: J
authors.lastname: Bolton
authors.forename: Mitchel P
authors.initials: MP
authors.lastname: Goldman
authors.forename: Isabella
authors.initials: I
authors.lastname: Guiha
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D008875:Middle Aged; D015588:Observer Variation; D010781:Photography; D010865:Pilot Projects; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D015595:Skin Aging; D013909:Thorax