Goldman Butterwick Fitzpatrick Groff & Fabi, Cosmetic Laser Dermatology, San Diego, California 92121, USA.
J Cosmet Dermatol. 2012 Sep;11(3):229-34. doi: 10.1111/j.1473-2165.2012.00628.x.
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.
迄今为止，尚无客观的标准来评估胸部皱纹并评估治疗效果。本研究旨在通过标准化摄影方法验证一种新的光数字皱纹评估量表，以获得参考照片。两名独立医生的研究小组评估了来自 28 名志愿者的不同程度的胸部皱纹的多张照片。选择并分类了代表胸部皱纹严重程度全谱的 16 名受试者的照片，并使用 Fabi-Bolton（F-B）5 分皱纹量表（1=无皱纹；2=浅但可见皱纹；3=中度深皱纹；4=深皱纹，边缘分明；5=皱纹很深，有多余的褶皱）。研究小组一致为每个等级点选择了一张代表性照片。第二组独立评估者使用 F-B 皱纹量表对随机排列的照片进行评分。然后对数值结果进行制表和比较。F-B 皱纹量表为评估胸部皱纹提供了一种可重复且有效的方法，且评分者之间的差异非常小。F-B 皱纹量表是对胸部皱纹进行分类以及评估治疗和美容干预的可靠工具。
