Goldie Kate, Kerscher Martina, Fabi Sabrina Guillen, Hirano Cyro, Landau Marina, Lim Ting Song, Woolery-Lloyd Heather, Mariwalla Kavita, Park Je-Young, Yutskovskaya Yana
European Medical Aesthetics Ltd, London, UK.
Division of Cosmetic Science, Department of Biochemistry and Molecular Biology, University of Hamburg, Hamburg, Germany.
Clin Cosmet Investig Dermatol. 2021 Jun 14;14:643-654. doi: 10.2147/CCID.S309374. eCollection 2021.
Skin quality is an important component of human attractiveness. To date, there are no standardized criteria for good skin quality. To establish a consensus for good skin quality parameters and measurement and treatment options, a virtual skin quality advisory board consisting of a global panel of highly experienced aesthetic dermatologists/aesthetic physicians was convened.
A total of 10 dermatologists/aesthetic physicians served on the advisory board. A modified version of the Delphi method was used to arrive at consensus. Members accessed an online platform to review statements on skin quality criteria from their peers, including treatment and measurement options, and voted to indicate whether they agreed or disagreed. Statements that did not have agreement were modified and the members voted again. Consensus was defined as: strong consensus = greater than 95% agreement; consensus = 75% to 95% agreement; majority consent = 50% to 75% agreement; no consensus = less than 50% agreement.
There was strong consensus that good skin quality is defined as healthy, youthful in appearance (appearing younger than a person's chronological age), undamaged skin and that skin quality can be described across all ethnicities by four emergent perceptual categories (EPCs): skin tone evenness, skin surface evenness, skin firmness, and skin glow. The EPCs can be affected by multiple tissue layers (ie, skin surface quality can stem from and be impacted by deep structures or tissues). This means that topical approaches may not be sufficient. Instead, improving skin quality EPCs can require a multilayer treatment strategy.
This global advisory board established strong consensus that skin quality can be described by four EPCs, which can help clinicians determine the appropriate treatment option(s) and the tissue or skin layer(s) to address. Skin quality is important to human health and wellbeing and patients' perception for the need for aesthetic treatment.
皮肤质量是人类吸引力的一个重要组成部分。迄今为止，尚无关于良好皮肤质量的标准化标准。为了就良好皮肤质量参数、测量方法及治疗方案达成共识，召集了一个由全球经验丰富的美容皮肤科医生/美容医师组成的虚拟皮肤质量咨询委员会。
咨询委员会共有10名皮肤科医生/美容医师。采用改良的德尔菲法达成共识。成员们通过在线平台审查同行关于皮肤质量标准的陈述，包括治疗和测量方法，并投票表明他们同意或不同意。未达成一致的陈述进行修改，成员们再次投票。共识定义为：强烈共识 = 超过95%的同意率；共识 = 75%至95%的同意率；多数同意 = 50%至75%的同意率；无共识 = 低于50%的同意率。
强烈共识认为，良好的皮肤质量定义为健康、外观年轻（看起来比实际年龄年轻）、未受损的皮肤，并且皮肤质量可以通过四个新兴感知类别（EPC）跨所有种族进行描述：肤色均匀度、皮肤表面平整度、皮肤紧致度和皮肤光泽度。这些EPC可能受到多个组织层的影响（即皮肤表面质量可能源于深层结构或组织并受其影响）。这意味着局部治疗方法可能不够。相反，改善皮肤质量EPC可能需要多层治疗策略。
这个全球咨询委员会达成了强烈共识，即皮肤质量可以通过四个EPC来描述，这有助于临床医生确定合适的治疗方案以及需要处理的组织或皮肤层。皮肤质量对人类健康和幸福以及患者对美容治疗需求的认知都很重要。
