AAFPRS021 - Split Face Study of the Laterality of Facial Aging Patterns
Wednesday, April 27, 2022
1:55 PM – 2:00 PM CT
Location: Landmark D
Caroline Hudson, MD; Sunthosh K. Sivam, MD; Angela Sturm, MD; Fred J. Bressler, MD; Anthony E. Brissett, MD
Baylor College of Medicine Department of Otolaryngology - Head & Neck Surgery (Hudson, Sivam), Houston Methodist Hospital Department of Otolaryngology - Head & Neck Surgery, Facial Plastic & Reconstructive Surgery (Brissett, Bressler), Dr. Angela Sturm Facial Plastics, Houston, TX (Sturm)
Resident Baylor College of Medicine Houston, Texas
Background Published studies assessing whether asymmetrical exposure to extrinsic factors leads to underlying differences in skin morphology and physiology report only clinical observations without use of validated methods to assess the degree of difference in age-related changes between the sides of the face.
Learning Objectives 1. Understand the various processes that contribute to facial aging 2. Understand the potential interventions to address discrepancies in facial aging between the left and right face
Study Objective The aim of this study is to assess the difference in facial age-related changes between the left and right side of the face using validated grading scales.
Design Type Split face retrospective review
Method After Institutional Review Board approval, 100 patient photos were gathered based on primary diagnosis of facial aging in a facial plastic surgery practice. The photos were split between left and right face. Three expert reviewers graded the photos and using validated scales to assign numbers to the upper face, midface, and lower face.
Results There is significant difference in left versus right facial age-related changes.
Conclusion Discrepancies in age-related changes between the left and right face should be a consideration in facial rejuvenation analysis, counseling, and treatment.