Affiliations 

  • 1 Division of Cosmetic Science, Department of Chemistry, University of Hamburg, Hamburg, Germany
  • 2 Physician in private practice in Coral Gables, Florida, USA
  • 3 NYU Langone Health, New York, New York, USA
  • 4 Physician in private practice in Munich, Germany
  • 5 Physician in private practice in Kuala Lumpur, Malaysia
  • 6 Physician in private practice in Manila, the Philippines
  • 7 Department of Plastic Surgery, Lenox Hill Hospital, New York, NY, USA
  • 8 Physician in private practice in Medellin, Colombia
  • 9 Physician in private practice in Marbella, Spain
  • 10 Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Germany
  • 11 Clinical project manager at a private aesthetic clinic in Vienna, Austria
  • 12 ICA Aesthetic Navigation GmbH, Frankfurt, Germany
Aesthet Surg J, 2023 Feb 25.
PMID: 36840504 DOI: 10.1093/asj/sjad041

Abstract

BACKGROUND: A scarcity of scales which assess platysmal bands, wrinkles in the décolleté, and horizontal necklines in the digital and live setting exist.

OBJECTIVES: The objective of this investigation was to create and validate 5-point photo numeric scales which assess horizontal necklines, platysmal bands and wrinkles in the décolleté.

METHODS: A medical team created 3 different novel 5-point photonumeric scale for the assessment of horizontal necklines, platysmal bands and décolleté wrinkling. Eleven international raters were involved in the digital validation, while 4 raters performed a live validation.

RESULTS: The Croma Horizontal Neck Line - Assessment Scale showed substantial inter-rater agreement and almost perfect intra-rater agreement in the digital and live validations. The Croma Platysmal Bands-Assessment Scale showed substantial intra-rater agreement in both, digital and live validations. For the décolleté, a static and a dynamic scale was created and validated. The Croma Static Décolleté Wrinkling-Assessment Scale showed substantial and almost perfect inter-rater agreement in the digital validation and live-validation, respectively, while the intra-rater agreement was in both almost perfect. The Croma Dynamic Décolleté Wrinkling-Assessment Scale showed almost perfect agreement in both validation settings for both, inter-and intra-rater agreement.

CONCLUSIONS: The Croma Horizontal Neck Line - Assessment Scale, the Croma Static and Dynamic Décolleté Wrinkling-Assessment Scales have sufficient inter and intrarater agreements to be justifiably used in the clinical and study setting.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.