From the Department of Plastic, Reconstructive and Maxillo facial Surgery, Henri Mondor Hospital, University Paris XII.
Department of Plastic and Reconstructive Surgery, Università degli Studi di Napoli Federico II.
Plast Reconstr Surg. 2023 Jan 1;151(1):64-71. doi: 10.1097/PRS.0000000000009797. Epub 2022 Oct 7.
Success or failure of plastic surgery procedures relies on cosmetic results. Understanding the objective perception of favorable aesthetic results is critical to ensure patient satisfaction. The aim of this study was to develop and validate a new facial rating scale that could objectively assess face- and neck-lift outcomes: the Face- and Neck-Lift Objective Photo-Numerical Assessment Scale.
One thousand White patients were included in the authors' study and assessed. To validate the authors' scale, the interrater reliability and the test-retest reliability were analyzed. The Rasch model was used as part of the scale validation process.
Eleven scales for face- and neck-lift outcomes assessment were developed. All scales exceeded criteria for acceptability, reliability, and validity. The interrater and intrarater reliabilities were good, with a substantial or virtually perfect interrater reliability for the total score ( P = 0.15).
The authors' results allowed us to validate the Face- and Neck-Lift Objective Photo-Numerical Assessment Scale as a reliable and reproducible tool to assess face- and neck-lift outcomes. This scale could be also considered as an important new metric to be used in facial rejuvenation surgery clinical research.
整形手术的成败取决于美容效果。了解对良好审美效果的客观感知对于确保患者满意度至关重要。本研究旨在开发和验证一种新的面部评分量表，能够客观评估面部和颈部提升的效果：面部和颈部提升客观照片数字评估量表。
作者的研究纳入了 1000 名白人患者并进行了评估。为了验证作者的量表，分析了组内和重测信度。Rasch 模型是量表验证过程的一部分。
开发了 11 种用于评估面部和颈部提升效果的量表。所有量表都超过了可接受性、可靠性和有效性的标准。组内和组间的可靠性都很好，总分的组间可靠性具有实质性或近乎完美（P=0.15）。
作者的结果允许我们验证面部和颈部提升客观照片数字评估量表作为评估面部和颈部提升效果的可靠且可重复的工具。该量表也可以被认为是面部年轻化手术临床研究中一个重要的新指标。
