Open Access
CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451811733
DOI: 10.1055/s-0045-1811733
Artigo Original

Comprehensive Evaluation of Facial Aethetics after Rhytidectomy

Article in several languages: português | English

Authors



Financial Support The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.

Abstract

Introduction

The advancement in technologies applied to facial rejuvenation provides increasingly promising aesthetic outcomes. Although the therapeutic arsenal is growing, we need a more comprehensive study of quantitative and qualitative variables on the long-term outcomes of rhytidectomy associated or not with supplementary procedures. The present study retrospectively assessed rhytidectomy surgeries performed in a reference center.

Materials and Methods

We evaluated the photographic record of patients operated on from 2021 to 2022 using Crisalix (Crisalix S.A.), Facetool, and FaceTag (Minical, Inc.) software to obtain quantitative values of symmetrization, proportion, and volumization. To assess qualitative variables, we applied the Facial Assessment and Cosmetic Enhancement Quality of Life Questionnaire (FACE-Q) to patients and an expert professional. We compared the qualitative variables from the questionnaires (translated into Rasch tables) with quantitative variables provided by the software to confirm their level of correlation.

Results

We found that although different tools evaluated the same parameters (the symmetry and volume of key anatomical points in facial rejuvenation), the weight of these parameters is smaller than the final absolute value of each processing. Linear regression revealed no statistically significant correlation between values. During the study, different variables were identified that hinder the interface with technologies and questionnaires.

Conclusion

We concluded that determining a single postoperative evaluation parameter correlated with an expert assessment was not feasible in our sample.

Clinical Trials

None.




Publication History

Received: 23 July 2024

Accepted: 20 May 2025

Article published online:
27 October 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Gabriel Neves dos Santos Mosqueira Gomes, Ana Beatriz Gomes de Almeida, Henrique Antonio Laviano Agrelo, Isttayner Martins Magalhães, Ivan Demolinari de Miranda. Avaliação abrangente da estética facial após ritidoplastia. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451811733.
DOI: 10.1055/s-0045-1811733
 
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