Browse by Session | Person Index | Disclosure Index

A Correlation of the Glogau Scale with Visia-CR Complexion Analysis Measurements in Assessing Facial Photoaging

Sydney Oesch, MD1, Nicole Vingan, BS1, Xingchen Li, MD2, John Hoopman, CMLSO1, Yucel Akgul, MD, PhD1 and Jeffrey M. Kenkel, MD, FACS1, (1)University of Texas Southwestern, Dallas, TX, (2)Penn State Health Milton S. Hershey Medical Center, Hershey, PA
Goals/Purpose: Historically, common evaluations for photoaging have been via subjective analysis by the trained eye; however, more recently, investigators have turned to non-invasive devices for more objective evaluation of facial aging. This study aimed to establish a clinical correlation between the subjective Glogau Photoaging Scale and the objective numerical scale of the VISIA®-CR Complexion Analysis System. In doing so, decreasing intra- and inter-observer variability when assessing photodamage, allowing for more precise observation of the aging process.

Methods/Technique: One-hundred seventeen male and female subjects between 18 and 89 years old with Fitzpatrick skin types I to IV were included. 2D digital facial photographs were analyzed by three independent qualified reviewers and were assigned Glogau Spots and Wrinkles scores. Images were also captured using the VISIA®-CR Complexion Analysis System and were analyzed using VISIA® software to objectively measure Spots, Wrinkles and Texture. Data was grouped by median Glogau score and compared between groups.

Results/Complications: All groups were statistically different (p < 0.05) from one another for VISIA Spots, Wrinkles and Remasked Wrinkles, except for Glogau 1 and 2 for Spots and Remasked Wrinkles. VISIA Wrinkles scores were plotted against age, and an exponential regression model was noted to be a better fit (R2 = 0.5) compared to a linear model (R2 = 0.47). The same was true of Spots scores with an exponential (R2 = 0.36) compared to linear model (R2 = 0.33). VISIA scores were also evaluated based on sex and sun exposure history, of which there were no significant differences found.

Conclusion: The results illustrate that the VISIA®-CR System can be used to reliably determine objective scores correlating to subjective evaluations utilizing the Glogau Photoaging Scale. Results also supported that aging more closely resembles an exponential process. Collectively, these findings will prove to be useful for those hoping to further investigate facial aging and the therapeutic options available for facial skin rejuvenation and objectively assessing their outcomes.

Back to:
<< Previous Abstract | Next Abstract