![]() ![]() ![]() The appearance of one's skin provides a wealth of information about an individual. The authors then propose a novel classification of skin quality attributes to provide clarity for both patients and physicians. Thus, the authors' goal is to elucidate the importance of skin quality to patients and aesthetic physicians, explore and understand what factors comprise it, and identify the gaps in the authors' understanding. In short, skin quality has yet to be clearly defined. The lack of a clear, comprehensive definition precludes identification of clinical indicators and evaluation tools necessary for proper assessment and treatment of undesirable skin quality. Current literature focuses heavily on age-related changes in skin quality, rather than skin quality per se, and descriptive terminology has substantial variability between investigators and geographically (See Supplemental Digital Content 1, Table S1, for levels of evidence of included literature). However, reaching a consistent, objective definition of skin quality has been difficult. ![]() Rejuvenation procedures, cosmeceuticals, and minimally invasive injectable therapies are increasingly popular. Skin quality as a concept is gaining traction in the aesthetic field worldwide. The encompassing term for this collection of desired outcomes is skin quality. 1– 3 In a recent global survey, 94% of the 14,584 people interviewed desired to improve their facial skin, and terms such as radiance and healthy, glowing skin are requested by patients seeking improvements in their appearance (unpublished data, Allergan Aesthetics). Yet, flawless skin is an important component of facial attractiveness and continues to be one of the most universally desired features. As the cornerstones of beauty include smooth, healthy looking skin, what comprises desirable skin is similarly difficult to define. According to psychologist Nancy Etcoff, 1 identification of beauty is intuitive, whereas definition of beauty is subjective, mutable, and difficult to formulate into words. ![]()
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