title: Objective estimation of patient age through a new composite scale for facial aging assessment: The face - Objective assessment scale.
abstract: Most patients requesting aesthetic rejuvenation treatment expect to look healthier and younger. Some scales for ageing assessment have been proposed, but none is focused on patient age prediction. The aim of this study was to develop and validate a new facial rating scale assessing facial ageing sign severity. One thousand Caucasian patients were included and assessed. The Rasch model was used as part of the validation process. A score was attributed to each patient, based on the scales we developed. The correlation between the real age and scores obtained, the inter-rater reliability and test-retest reliability were analysed. The objective was to develop a tool enabling the assigning of a patient to a specific age range based on the calculated score. All scales exceeded criteria for acceptability, reliability and validity. The real age strongly correlated with the total facial score in both sex groups. The test-retest reliability confirmed this strong correlation. We developed a facial ageing scale which could be a useful tool to assess patients before and after rejuvenation treatment and an important new metrics to be used in facial rejuvenation and regenerative clinical research.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France. Electronic address: drsimonelapadula@gmail.com.
authors.forename: Simone
authors.initials: S
authors.lastname: La Padula
authors.affiliation: Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
authors.forename: Barbara
authors.initials: B
authors.lastname: Hersant
authors.affiliation: Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
authors.forename: Mounia
authors.initials: M
authors.lastname: SidAhmed
authors.affiliation: Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Niddam
authors.affiliation: Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
authors.forename: Jean Paul
authors.initials: JP
authors.lastname: Meningaud
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004954:Esthetics; D005145:Face / Q000033:anatomy & histology* / Q000502:physiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012060:Rejuvenation; D015203:Reproducibility of Results; D015361:Rhytidoplasty; D015595:Skin Aging / Q000502:physiology; D055815:Young Adult
keywords: Ageing; Facial ageing; Facial ageing scale; Rejuvenation medicine; Rejuvenation surgery; Score