{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T03:47:13Z","timestamp":1781322433726,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T00:00:00Z","timestamp":1639267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this investigation was to create and to examine the reproducibility and validity of 5\u2010point photonumeric assessment scales that allow objective assessment of chin retrusion and jawline sagging using a digital and a live validation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Two new 5\u2010point photonumeric scales created to assess chin projection and jawline sagging were validated by 12 experts in a digital validation and by 5 experts in a live validation setting. Intra\u2010rater agreement and inter\u2010rater agreement were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the digital validation, an almost perfect intra\u2010rater (Kappa: 0.89 [95% CI: 0.86\u20130.91]) and almost perfect inter\u2010rater agreement in both sessions (Kappa: 0.80 [95% CI: 0.74\u20130.86] and 0.80 [95% CI: 0.74\u20130.86]) was achieved for the Croma Chin Projection Assessment Scale, while intra\u2010rater agreement (Kappa: 0.88 [95% CI: 0.85\u20130.91]) was almost perfect for the Croma Jawline Sagging Assessment Scale and inter\u2010rater agreement being substantial in the first session (Kappa: 0.76 [95% CI: 0.71\u20130.81]) and almost perfect in the second session (Kappa: 0.81 [95%CI: 0.76\u20130.85]). For the live validation, intra\u2010rater agreement was almost perfect for the Croma Chin Projection Assessment Scale (Kappa: 0.82 [95%CI: 0.74\u20130.90]) and the Croma Jawline Sagging Assessment Scale (Kappa: 0.83 [95%CI: 0.77\u20130.89]), while inter\u2010rater agreement was substantial in both sessions for both scales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The created chin and jawline photonumeric grading scales are valid and reliable tools for assessing chin projection and jawline sagging. The scales will be of value for standardized chin evaluation and quantifying outcomes in clinical research and daily practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.14661","type":"journal-article","created":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T14:26:46Z","timestamp":1639319206000},"page":"600-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Validated 5\u2010point photonumeric scales for the assessment of the jowls and chin"],"prefix":"10.1111","volume":"21","author":[{"given":"Rainer","family":"Pooth","sequence":"first","affiliation":[{"name":"ICA Aesthetic Navigation GmbH Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Prinz","sequence":"additional","affiliation":[{"name":"Yuvell Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia","family":"Cajkovsky","sequence":"additional","affiliation":[{"name":"Yuvell Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy B.","family":"Green","sequence":"additional","affiliation":[{"name":"Skin Associates of South Florida Skin Research Institute Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia A.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"CH Dermatologia Medellin Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Pavicic","sequence":"additional","affiliation":[{"name":"Private Practice for Dermatology &amp; Aesthetics Dr. Tatjana Pavicic Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Mueller","sequence":"additional","affiliation":[{"name":"Yuvell Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Sattler","sequence":"additional","affiliation":[{"name":"Rosenpark Clinic Darmstadt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike","family":"Klepetko","sequence":"additional","affiliation":[{"name":"Private Practice Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina G.","family":"Fabi","sequence":"additional","affiliation":[{"name":"Cosmetic Laser Dermatology San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Day","sequence":"additional","affiliation":[{"name":"Private Practice New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3432-7090","authenticated-orcid":false,"given":"Atchima","family":"Suwanchinda","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Division of Dermatology Department of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7210-6566","authenticated-orcid":false,"given":"Sebastian","family":"Cotofana","sequence":"additional","affiliation":[{"name":"Department of Clinical Anatomy Mayo Clinic College of Medicine and Science Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6994-8877","authenticated-orcid":false,"given":"Konstantin","family":"Frank","sequence":"additional","affiliation":[{"name":"Department for Hand, Plastic and Aesthetic Surgery Ludwig \u2010 Maximilian University Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,12]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"International Society of Aesthetic Plastic Surgeons.ISAPS International Survey on Aesthetic\/Cosmetic Procedures Performed in 2017;2019.https:\/\/www.isaps.org\/wp\u2010content\/uploads\/2019\/03\/ISAPS_2017_International_Study_Cosmetic_Procedures_NEW.pdfAccessed May 6 2019."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14410"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14109"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjab351"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13089"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13621"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13491"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaa179"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2007.08.001"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000549"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.12728"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005080"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.13737"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004364"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524\u20104725.2011.02247.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000849"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000002269"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3102\/10769986027004335"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.86.2.420"},{"issue":"6","key":"e_1_2_11_22_1","first-page":"533","article-title":"Clinical validation of the surface volume coefficient for minimally invasive treatment of the temple","volume":"18","author":"Cotofana S","year":"2019","journal-title":"J Drugs Dermatol"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.14661","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.14661","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.14661","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T10:31:40Z","timestamp":1692268300000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.14661"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,12]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1111\/jocd.14661"],"URL":"https:\/\/doi.org\/10.1111\/jocd.14661","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,12]]},"assertion":[{"value":"2021-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}