Perceived Age Reduction After Rhytidoplasty: A Randomized Clinical Trial Comparing Three Surgical Techniques Using Human and AI Assessment.

IF 1.4 4区医学 Q3 SURGERY

Facial Plastic Surgery Pub Date : 2025-10-08 DOI:10.1055/a-2718-4008

Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Lydia Masako Ferreira, José da Conceição Carvalho Junior

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引用次数: 0

Abstract

Introduction: Perceived age is an objective surrogate for facial rejuvenation, but comparative evidence across facelift techniques using human and AI raters is limited.Objectives& Hypotheses: This trial assessed whether facelift techniques differ in rejuvenation effect and whether AI estimates align with human evaluations.

Study design: Randomized clinical trial.

Methods: Thirty women (45-65 years) underwent rhytidectomy by Deep Plane, High SMAS, or Plication (n=10 each). Standardized photographs were rated by 200 laypersons (9,000 evaluations) and three AI models (180 evaluations). Primary outcome was change in perceived age (Δ age); secondary analyses included technique comparison, AI accuracy, rater bias, and human-AI correlation.

Results: All techniques significantly reduced perceived age, with no statistical difference between groups. Amazon Rekognition and HowOldDoYouLook were more accurate.Human-AI correlation was moderate (r=0.41, p=0.020). Raters under 30 underestimated age (p<0.001).

Conclusions: Human and AI evaluations showed no technique differences, with AI estimates resembling human assessments.

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皱缩成形术后感知年龄降低：一项随机临床试验，比较三种手术技术使用人类和人工智能评估。

引言：感知年龄是面部年轻化的客观替代指标，但使用人工和人工智能评分器进行面部拉皮技术的比较证据有限。目的与假设：本试验评估了面部拉皮技术在年轻化效果上是否不同，以及人工智能的估计是否与人类的评估一致。研究设计：随机临床试验。方法：30例女性（45-65岁）采用Deep Plane、High SMAS或Plication（各10例）行除皱术。标准化照片由200名外行（9000次评价）和3个人工智能模型（180次评价）打分。主要结局是感知年龄的变化（Δ age）；二次分析包括技术比较、人工智能准确性、评分偏差和人类与人工智能的相关性。结果：所有技术均能显著降低感知年龄，组间差异无统计学意义。Amazon rekrecognition和HowOldDoYouLook的准确率更高。人与ai的相关性为中度（r=0.41, p=0.020）。结论：人类和人工智能的评估没有技术差异，人工智能的评估与人类的评估相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Facial Plastic Surgery 医学-外科

CiteScore

1.80

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.