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Assessment Tools for Facial Rejuvenation Treatment: A Review

  • Review
  • Non-Surgical Aesthetic
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

In the field of cosmetic medicine, patient satisfaction is an important and common indicator used to measure the efficacy of the treatment. However, it is insufficient to prove objectively that the benefit of the specific factors involved in the cosmetic outcomes. The practitioner should be aware of these assessment tools, in particular in case of demanding or litigious patients.

Objective

The aim of this review was to establish a list and discuss the subjective and objective methods used to assess facial aesthetic rejuvenation treatments.

Methods

A systematic literature search was performed using the Pubmed search engine. Studies published over the last 5 years, i.e. between January 2010 and January 2015 were considered for review. The following keywords were used: “aesthetic treatment”, “facial rejuvenation”, and “subjective evaluation” or “objective evaluation”.

Results

Of the 446 articles identified by the search strategy, 47 articles focused specifically on facial rejuvenation and on the efficacy of aesthetic medical treatments were retrieved for review. Thirty-seven articles used quantitative methods to assess aesthetic treatment outcomes and only 12 used subjective methods. The different assessment methods were listed according to the tools used and treatment indications.

Conclusion

This review will help in choosing adequate methods to assess facial rejuvenation medical treatment. It is important to combine these tools adequately to improve the assessment. There is no current consensus on assess facial rejuvenation treatments but we noted that objective assessment methods seem helpful.

No Level Assigned

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Park KY, Ko EJ, Kim BJ, Kim MN, Hong CK, Chang SE, Won CH, Lee YW (2015) A multicenter, randomized, double-blind clinical study to evaluate the efficacy and safety of PP-501-B in correction of nasolabial folds. Dermatol Surg 41(1):113–120

    Article  CAS  PubMed  Google Scholar 

  2. Shin SJ, Her Y, Yu DS, Kim CW, Kim SS (2014) Twenty-four-week multicenter, evaluator-blinded clinical study of the efficacy and safety of a dextran filler in the treatment of nasolabial folds. Dermatol Surg 40:652–657

    CAS  PubMed  Google Scholar 

  3. Goodier M, Elm K, Wallander I, Zelickson B, Schram S (2014) A randomized comparison of the efficacy of low volume deep placement cheek injection vs. mid- to deep dermal nasolabial fold injection technique for the correction of nasolabial folds. J Cosmet Dermatol 13:91–98

    Article  PubMed  Google Scholar 

  4. Choi SY, Lee YH, Kim H, Koh HJ, Park SY, Park WS, Bae IH, Park KY, Kim BJ (2014) A combination trial of intradermal radiofrequency and hyaluronic acid filler for treatment of nasolabial fold wrinkles: a pilot study. J Cosmet Laser Ther 16(1):37–42

    Article  PubMed  Google Scholar 

  5. Brandt F, Bassichis B, Bassichis M, O’Connell C, Lin X (2011) Safety and effectiveness of small and large gel-particle hyaluronic acid in the correction of perioral wrinkles. J Drugs Dermatol 10:982–987

    CAS  PubMed  Google Scholar 

  6. Ascher B, Bayerl C, Brun P, Kestemont P, Rzany B, Poncet M, Guennoun M, Podda M (2011) Efficacy and safety of a new hyaluronic acid dermal filler in the treatment of severe nasolabial lines—6-month interim results of a randomized, evaluator-blinded, intra-individual comparison study. J Cosmet Dermatol 10(2):94–98

    Article  PubMed  Google Scholar 

  7. Ahn JY, Lee SH, Park KY, Hong CK, Song HJ, Park MY, Choi YS, Seo SJ (2012) Clinical comparison of two hyaluronic acid-derived fillers in the treatment of nasolabial folds: Mesoglow® and IAL System®. Int J Dermatol 51(5):601–608

    Article  CAS  PubMed  Google Scholar 

  8. Sclafani AP (2010) Platelet-rich fibrin matrix for improvement of deep nasolabial folds. J Cosmet Dermatol 9:66–71

    Article  PubMed  Google Scholar 

  9. Calabrò G, De Vita V, Patalano A, Mazzella C, Lo Conte V, Antropoli C (2014) Confirmed efficacy of topical nifedipine in the treatment of facial wrinkles. J Dermatolog Treat 25:319–325

    Article  PubMed  Google Scholar 

  10. Buntrock H, Reuther T, Prager W, Kerscher M (2013) Efficacy, safety, and patient satisfaction of a monophasic cohesive polydensified matrix versus a biphasic nonanimal stabilized hyaluronic acid filler after single injection in nasolabial folds. Dermatol Surg 39:1097–1105

    Article  CAS  PubMed  Google Scholar 

  11. Royo de la Torre J, Moreno-Moraga J, Isarría MJ, Muñoz E, Cruz I, Pérez G, Cornejo P (2013) The evaluation of hyaluronic acid, with and without lidocaine, in the filling of nasolabial folds as measured by ultrastructural changes and pain management. J Drugs Dermatol 12(3):e46–e52

    PubMed  Google Scholar 

  12. Savoia A, Landi S, Baldi A (2013) A new minimally invasive mesotherapy technique for facial rejuvenation. Dermatol Ther (Heidelb) 3:83–93

    Article  Google Scholar 

  13. Lee KR, Lee EG, Lee HJ, Yoon MS (2013) Assessment of treatment efficacy and sebosuppressive effect of fractional radiofrequency microneedle on acne vulgaris. Lasers Surg Med 45:639–647

    Article  PubMed  Google Scholar 

  14. Lee YB, Song EJ, Kim SS, Kim JW, Yu DS (2014) Safety and efficacy of a novel injectable filler in the treatment of nasolabial folds: polymethylmethacrylate and cross-linked dextran in hydroxypropyl methylcellulose. J Cosmet Laser Ther 16(4):185–190

    Article  PubMed  Google Scholar 

  15. Pavicic T, Gauglitz GG, Lersch P, Schwach-Abdellaoui K, Malle B, Korting HC, Farwick M (2011) Efficacy of cream-based novel formulations of hyaluronic acid of different molecular weights in anti-wrinkle treatment. J Drugs Dermatol 10(9):990–1000

    CAS  PubMed  Google Scholar 

  16. Bertucci V, Lin X, Axford-Gatley RA, Theisen MJ, Swift A (2013) Safety and effectiveness of large gel particle hyaluronic acid with lidocaine for correction of midface volume loss. Dermatol Surg 39:1621–1629

    Article  CAS  PubMed  Google Scholar 

  17. Rzany B, Cartier H, Kestermont P, Trevidic P, Sattler G, Kerrouche N, Dhuin JC (2012) Correction of tear troughs and periorbital lines with a range of customized hyaluronic acid fillers. J Drugs Dermatol 11(1 Suppl):s27–s34

    CAS  PubMed  Google Scholar 

  18. Kestemont P, Cartier H, Trevidic P, Rzany B, Sattler G, Kerrouche N, Dhuin JC (2012) Sustained efficacy and high patient satisfaction after cheek enhancement with a new hyaluronic acid dermal filler. J Drugs Dermatol 11(1 Suppl):9–16

    Google Scholar 

  19. Luebberding S, Krueger N, Kerscher M (2014) Comparison of Validated Assessment Scales and 3D digital fringe projection method to assess lifetime development of wrinkles in men. Skin Res Technol 20:30–36

    Article  PubMed  Google Scholar 

  20. Ooe M, Seki T, Miura T, Takada A (2013) Comparative evaluation of wrinkle treatments. Aesthetic Plast Surg 37:424–433

    Article  PubMed  Google Scholar 

  21. Clementoni MT, Lavagno R, Munavalli G (2012) A new multi-modal fractional ablative CO2 laser for wrinkle reduction and skin resurfacing. J Cosmet Laser Ther 14:244–252

    Article  PubMed  Google Scholar 

  22. Levenberg A, Halachmi S, Arad-Cohen A, Ad-El D, Cassuto D, Lapidoth M (2010) Clinical results of skin remodeling using a novel pneumatic technology. Int J Dermatol 49:1432–1439

    Article  PubMed  Google Scholar 

  23. Shin JW, Lee DH, Choi SY, Na JI, Park KC, Youn SW, Huh CH (2011) Objective and non-invasive evaluation of photorejuvenation effect with intense pulsed light treatment in Asian skin. J Eur Acad Dermatol Venereol 5:516–522

    Article  Google Scholar 

  24. Olivier Masveyraud F (2011) Facial rejuvenation using l-polylactic acid: about 298 successive cases. Ann Chir Plast Esthet 56:120–127

    Article  CAS  PubMed  Google Scholar 

  25. Lorenc ZP, Bank D, Kane M, Lin X, Smith S (2012) Validation of a four-point photographic scale for the assessment of midface volume loss and/or contour deficiency. Plast Reconstr Surg 130:1330–1336

    Article  CAS  PubMed  Google Scholar 

  26. El-Domyati M, Abd-El-Raheem T, Medhat W, Abdel-Wahab H, Al Anwer M (2014) Multiple fractional erbium: yttrium-aluminum-garnet laser sessions for upper facial rejuvenation: clinical and histological implications and expectations. J Cosmet Dermatol 13:30–37

    Article  PubMed  Google Scholar 

  27. Kim JE, Chang S, Won CH, Kim CH, Park KH, Choi JH, Lee MW (2012) Combination treatment using bipolar radiofrequency-based intense pulsed light, infrared light and diode laser enhanced clinical effectiveness and histological dermal remodeling in Asian photoaged skin. Dermatol Surg 38(1):68–76

    Article  CAS  PubMed  Google Scholar 

  28. Prignano F, Bonciani D, Campolmi P, Cannarozzo G, Bonan P, Lotti T (2011) A study of fractional CO2 laser resurfacing: the best fluences through a clinical, histological, and ultrastructural evaluation. J Cosmet Dermatol 10:210–216

    Article  PubMed  Google Scholar 

  29. Koh BK, Lee CK, Chae K (2010) Photorejuvenation with submillisecond neodymium-doped yttrium aluminum garnet (1064 nm) laser: a 24-week follow-up. Dermatol Surg 36:355–362

    Article  CAS  PubMed  Google Scholar 

  30. Tanaka Y, Tsunemi Y, Kawashima M, Tatewaki N, Nishida H (2014) Treatment of skin laxity using multisource, phase-controlled radiofrequency in Asians: visualized 3-dimensional skin tightening results and increase in elastin density shown through histologic investigation. Dermatol Surg 40:756–762

    CAS  PubMed  Google Scholar 

  31. El-Domyati M, El-Ammawi TS, Medhat W, Moawad O, Mahoney MG, Uitto J (2012) Multiple minimally invasive erbium: yttrium aluminum garnet laser mini-peels for skin rejuvenation: an objective assessment. J Cosmet Dermatol 11:122–130

    Article  PubMed  PubMed Central  Google Scholar 

  32. Patriota RC, Rodrigues CJ, Cucé LC (2011) Intense pulsed light in photoaging: a clinical, histopathological and immunohistochemical evaluation. An Bras Dermatol 86:1129–1133

    Article  PubMed  Google Scholar 

  33. Jegasothy SM, Zabolotniaia V, Bielfeldt S (2014) Efficacy of a new topical nano-hyaluronic acid in humans. J Clin Aesthet Dermatol 7:27–29

    PubMed  PubMed Central  Google Scholar 

  34. Manosroi A, Chutoprapat R, Abe M, Manosroi W, Manosroi J (2012) Anti-aging efficacy of topical formulations containing niosomes entrapped with rice bran bioactive compounds. Pharm Biol 50:208–224

    Article  CAS  PubMed  Google Scholar 

  35. Choi M, Choi JW, Lee SY et al (2010) Low-dose 1064-nm Q-switched Nd:YAG laser for the treatment of melasma. J Dermatolog Treat 21:224–228

    Article  PubMed  Google Scholar 

  36. Li YH, Chen JZ, Wei HC, Zhang L, Xu HH, Xu TH, Wu Y, Xu YY, Dong GH, Gao XH, Chen HD, Gold MH (2010) A Chinese experience of fractional ultrapulsed CO2 laser for skin rejuvenation. J Cosmet Laser Ther 12(6):250–255

    Article  PubMed  Google Scholar 

  37. Redaelli A, Romano D, Marcianó A (2010) Face and neck revitalization with platelet-rich plasma (PRP): clinical outcome in a series of 23 consecutively treated patients. J Drugs Dermatol 9:466–472

    PubMed  Google Scholar 

  38. Mehryan P, Zartab H, Rajabi A, Pazhoohi N, Firooz A (2014) Assessment of efficacy of platelet-rich plasma (PRP) on infraorbital dark circles and crow’s feet wrinkles. J Cosmet Dermatol 13:72–78

    Article  PubMed  Google Scholar 

  39. Panchapakesan V, Klassen AF, Cano SJ, Scott AM, Pusic AL (2013) Development and psychometric evaluation of the FACE-Q aging appraisal scale and patient-perceived age visual analog scale. Aesthet Surg J 33:1099–1109

    Article  PubMed  Google Scholar 

  40. Lee HJ, Lee EG, Kang S, Sung JH, Chung HM, Kim DH (2014) Efficacy of microneedling plus human stem cell conditioned medium for skin rejuvenation: a randomized, controlled, blinded split-face study. Ann Dermatol 26:584–591

    Article  PubMed  PubMed Central  Google Scholar 

  41. Hong YH, Jung EY, Shin KS, Yu KW, Chang UJ, Suh HJ (2013) Tannase-converted green tea catechins and their anti-wrinkle activity in humans. J Cosmet Dermatol 12:137–143

    Article  PubMed  Google Scholar 

  42. Min P, Xi W, Grassetti L, Trisliana Perdanasari A, Torresetti M, Feng S, Su W, Pu Z, Zhang Y, Han S, Zhang YX, Di Benedetto G, Lazzeri D (2015) Sebum production alteration after botulinum toxin type a injections for the treatment of forehead rhytides: a prospective randomized double-blind dose-comparative clinical investigation. Aesthet Surg J 35(5):600–610

    Article  PubMed  Google Scholar 

  43. Rose AE, Goldberg DJ (2013) Safety and efficacy of intradermal injection of botulinum toxin for the treatment of oily skin. Dermatol Surg 39:443–448

    Article  CAS  PubMed  Google Scholar 

  44. Roh M, Goo B, Jung J, Chung H, Chung K (2011) Treatment of enlarged pores with the quasi long-pulsed versus Q-switched 1064 nm Nd:YAG lasers: a split-face, comparative, controlled study. Laser Ther 20:175–180

    Article  PubMed  PubMed Central  Google Scholar 

  45. El-Domyati M, El-Ammawi TS, Moawad O, El-Fakahany H, Medhat W, Mahoney MG, Uitto J (2012) Efficacy of mesotherapy in facial rejuvenation: a histological and immunohistochemical evaluation. Int J Dermatol 51(8):913–919

    Article  PubMed  PubMed Central  Google Scholar 

  46. Mahmood T, Akhtar N (2013) Combined topical application of lotus and green tea improves facial skin surface parameters. Rejuvenation Res 16:91–97

    Article  PubMed  Google Scholar 

  47. Kim M, Yang H, Kim H, Jung H, Jung H (2014) Novel cosmetic patches for wrinkle improvement: retinyl retinoate and ascorbic acid-loaded dissolving microneedles. Int J Cosmet Sci 36:207–212

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Maxillofacial and Plastic & Reconstructive Surgery, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, Créteil, 94010, France

    B. Hersant, R. Abbou, M. SidAhmed-Mezi & J. P. Meningaud

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  1. B. Hersant
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  2. R. Abbou
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  3. M. SidAhmed-Mezi
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  4. J. P. Meningaud
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Correspondence to B. Hersant.

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Hersant, B., Abbou, R., SidAhmed-Mezi, M. et al. Assessment Tools for Facial Rejuvenation Treatment: A Review. Aesth Plast Surg 40, 556–565 (2016). https://doi.org/10.1007/s00266-016-0640-y

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