Martschin Christoph, Bahhady Ruba, Li Jason, Loureiro Walter, Mansour Wesam, Metelitsa Andrei, Minocha Kuldeep, Somenek Michael, Taghetchian Keywan, Tienthavorn Tanongkiet
Private Practice, Lisbon, Portugal.
Premium Cosmetic Laser Center, Dubai, UAE.
J Cosmet Dermatol. 2025 Jan;24(1):e16615. doi: 10.1111/jocd.16615. Epub 2024 Oct 9.
Radiant skin is a common patient request and the result of multiple contributing factors. Currently, there is no standardized methodological approach that facilitates assessment of skin quality from a holistic perspective.
To develop a holistic methodological process to assess skin quality using a scale that helps identify treatment priorities, facilitates conversation with the subject, and helps manage expectations, supports long-term treatment plans, and tracks treatment progress over time.
Ten global experts (dermatologists and esthetic physicians) identified the main measurable aspects that contribute to skin quality, and these were combined to form the Skin Quality Assessment Scale (SQS). The scale comprises four overarching skin quality domains containing nine measurable aspects: texture (pores, lines, scars); discoloration (redness, pigmentation, dullness); firmness (laxity); and hydro-lipid balance (oiliness, dryness). Each aspect is graded on a 4-point severity scale (0 = none to 3 = severe). The SQS was validated by a large group of practicing clinicians.
Practicing clinicians (> 40, 78% dermatologists) were surveyed; prior to reviewing the scale, 67% did not use any scale but 81% believed a holistic SQS was needed. After reviewing the scale, 100% agreed the scale provides a holistic assessment of skin quality. In addition, 95% agreed the scale helps assess all key aspects of skin quality with subjects and 98% deemed it valuable for their clinic.
The SQS represents a holistic assessment tool that engages with and manages subjects' expectations, identifies treatment priorities, creates a long-term treatment plan, and visualizes the skin quality improvement over time.
拥有光彩照人的肌肤是患者常见的诉求，这是多种因素共同作用的结果。目前，尚无标准化的方法能从整体角度评估皮肤质量。
制定一个整体方法流程，使用一种量表来评估皮肤质量，该量表有助于确定治疗重点、促进与患者的沟通、管理期望、支持长期治疗计划并跟踪随时间推移的治疗进展。
十位全球专家（皮肤科医生和美容医生）确定了影响皮肤质量的主要可测量方面，并将这些方面合并形成皮肤质量评估量表（SQS）。该量表包括四个总体皮肤质量领域，包含九个可测量方面：质地（毛孔、皱纹、疤痕）；色素沉着（泛红、色素沉着、暗沉）；紧致度（松弛）；以及水脂平衡（油性、干性）。每个方面按4级严重程度评分（0 = 无至3 = 严重）。SQS由一大群执业临床医生进行了验证。
对执业临床医生（> 40名，78%为皮肤科医生）进行了调查；在查看该量表之前，67%的人未使用任何量表，但81%的人认为需要一个整体的SQS。查看该量表后，100%的人同意该量表能对皮肤质量进行整体评估。此外，95%的人同意该量表有助于与患者评估皮肤质量的所有关键方面，98%的人认为它对他们的诊所很有价值。
SQS是一种整体评估工具，能参与并管理患者的期望、确定治疗重点、制定长期治疗计划，并直观显示随时间推移皮肤质量的改善情况。
