{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:48:35Z","timestamp":1789692515815,"version":"4.0.1"},"reference-count":62,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Skin quality has a significant influence on aesthetic perception, yet its clinical evaluation remains subjective and inconsistent. Traditional assessments, such as visual grading and manual scoring, lack reproducibility and fail to capture subtle changes over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore how artificial intelligence (AI) can transform skin quality evaluation by introducing objective, data\u2010driven metrics that enhance precision, reproducibility, and personalization in aesthetic medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a narrative review of the literature on AI\u2010based skin analysis tools and their role in quantifying key skin quality dimensions, including pigmentation, texture, elasticity, radiance, and erythema. Emphasis was placed on the use of standardized imaging, emergent perceptual categories (EPCs), and composite scoring systems designed to capture multidimensional aspects of skin quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AI tools enable the objective quantification of skin quality through high\u2010dimensional image analysis, thereby reducing interobserver variability and supporting consistent evaluation across time points and populations. These systems facilitate longitudinal monitoring, tailored interventions, and patient\u2010clinician communication. By integrating individual demographics and environmental variables, AI fosters equitable and personalized care. Regulatory and ethical considerations, such as data privacy and algorithmic bias, must be addressed to ensure the responsible implementation of these tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AI represents a paradigm shift in aesthetic dermatology, offering standardized and reproducible metrics for assessing and monitoring skin quality. When aligned with validated frameworks, such as the EPCs, AI supports improved treatment outcomes, patient satisfaction, and industry\u2010wide standardization. Future progress depends on interdisciplinary collaboration, robust regulation, and inclusive data practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70371","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T12:45:51Z","timestamp":1755953151000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Transforming Skin Quality Evaluation With\n                    <scp>AI<\/scp>\n                    : From Subjective Grading to Data\u2010Driven Precision"],"prefix":"10.1111","volume":"24","author":[{"given":"Rainer","family":"Pooth","sequence":"first","affiliation":[{"name":"Clinical Research and Development ICA Aesthetic Navigation GmbH  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Sattler","sequence":"additional","affiliation":[{"name":"Rosenparkklinik GmbH  Darmstadt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Westerberg","sequence":"additional","affiliation":[{"name":"Private Practice, for Dermatology &amp; Aesthetics  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4511-8661","authenticated-orcid":false,"given":"Tatjana","family":"Pavicic","sequence":"additional","affiliation":[{"name":"Private Practice, for Dermatology &amp; Aesthetics  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4563-5136","authenticated-orcid":false,"given":"Martina","family":"Kerscher","sequence":"additional","affiliation":[{"name":"Division of Cosmetic Sciences and Aesthetic Dermatology University of Hamburg  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,23]]},"reference":[{"issue":"5","key":"e_1_2_12_2_1","article-title":"Look Better, Feel Better, Live Better? The Impact of Minimally Invasive Aesthetic Procedures on Satisfaction With Appearance and Psychosocial Wellbeing","volume":"15","author":"Hoffman L.","year":"2022","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/ccid.s309374"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12451"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20103083.2007.02512.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473\u20102165.2010.00538.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100029\u20101224795"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12801"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12024"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2023.1195272"},{"issue":"6","key":"e_1_2_12_11_1","first-page":"10","article-title":"Insights on Skin Quality and Clinical Practice Trends in Asia Pacific and a Practical Guide to Good Skin Quality From the Inside Out","volume":"15","author":"Park J. Y.","year":"2022","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15131"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003397"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD014391"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjad173"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15334"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.20866"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11604\u2010023\u201001474\u20103"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003079"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1992.01680130061006"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/asjof\/ojae038"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000852"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000002237"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.2165\/00128071\u2010200304120\u201000004"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.23.103"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12892"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.13113"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2021.0082"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010022\u201003727\u2010y"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13000\u2010021\u201001136\u2010w"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13111584"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.36849\/JDD.7080"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.16481"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555\u2010022\u201000833\u20108"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11226826"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjidi.2022.100150"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15041183"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijd.IJD_418_20"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266\u2010024\u201004043\u20109"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.40770"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1159\/000530225"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/frai.2024.1394386"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746\u2010023\u201000914\u20108"},{"key":"e_1_2_12_44_1","unstructured":"C.Banila \u201cEpigenetic Markers for Skin Rejuvenation \u201d Presented at: IMCAS Academy; November 5 2024 https:\/\/www.imcas.com\/en\/academy\/show\/16948\/epigenetic\u2010markers\u2010for\u2010skin\u2010rejuvenation."},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/cells7120268"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/exd.14418"},{"issue":"2","key":"e_1_2_12_47_1","first-page":"4","article-title":"Skin Biorevitalisation With Hyaluronic Acid","volume":"10","author":"Dalmedo V. H.","year":"2023","journal-title":"PMFA"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2024.0468"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1278232"},{"key":"e_1_2_12_50_1","unstructured":"M.Hebebrand \u201cThe Role of AI in Enhancing Cosmetic Dermatology Practices \u201dDermatology Times. Published online August 28 (2024) https:\/\/www.dermatologytimes.com\/view\/the\u2010role\u2010of\u2010ai\u2010in\u2010enhancing\u2010cosmetic\u2010dermatology\u2010practices."},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005340"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.13486"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.21451"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-23633-4_17"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-68176-0_7"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgene.2022.927721"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.idoj_543_23"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1390684"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12050562"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.34172\/ijhpm.2022.7261"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746\u2010020\u201000324\u20100"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1177\/01410768231187734"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.1197"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70371","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.70371","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T09:49:43Z","timestamp":1774345783000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,23]]},"references-count":62,"journal-issue":{"issue":"S4","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/jocd.70371"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70371","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,23]]},"assertion":[{"value":"2025-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70371"}}