Abstract
Perioral wrinkling is commonly reported among older adults, but its objective evaluation and causes remain poorly understood. Objective We sought to develop a photonumeric scale for perioral wrinkling and to elucidate contributory lifestyle factors. Methods In this cross-sectional study, we recruited participants for facial photographs and a survey. A gender-specific photonumeric scale for perioral wrinkling was developed and used by 3 graders to evaluate participant photographs. Scores and survey responses were used to create a multiple regression model to predict perioral wrinkling. Results In all, 143 participants aged 21 to 91 years were enrolled. Intraclass correlation coefficient values for interrater and intrarater reliability were high (>0.8) across 2 trials and 3 graders. A multiple regression model for prediction of perioral wrinkling severity included age, gender, and years of smoking as variables. Limitations The study was limited by sample size and a predominantly Caucasian study population. Conclusion We created a photonumeric scale that accounts for gender differences in perioral wrinkling and highlighted contributory variables to photoaging in this anatomical location.
Original language | English (US) |
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Pages (from-to) | 924-930 |
Number of pages | 7 |
Journal | Journal of the American Academy of Dermatology |
Volume | 74 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2016 |
Keywords
- crows feet
- gender differences
- perioral wrinkling
- photoaging
- photonumeric scale
- smoking
ASJC Scopus subject areas
- Dermatology