Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Lydia Masako Ferreira, José da Conceição Carvalho Junior
{"title":"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。","authors":"Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Lydia Masako Ferreira, José da Conceição Carvalho Junior","doi":"10.1055/a-2718-4008","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Study design: </strong>Randomized clinical trial.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>Human and AI evaluations showed no technique differences, with AI estimates resembling human assessments.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Perceived Age Reduction After Rhytidoplasty: A Randomized Clinical Trial Comparing Three Surgical Techniques Using Human and AI Assessment.\",\"authors\":\"Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Lydia Masako Ferreira, José da Conceição Carvalho Junior\",\"doi\":\"10.1055/a-2718-4008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Study design: </strong>Randomized clinical trial.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>Human and AI evaluations showed no technique differences, with AI estimates resembling human assessments.</p>\",\"PeriodicalId\":12195,\"journal\":{\"name\":\"Facial Plastic Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-10-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Facial Plastic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2718-4008\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Facial Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2718-4008","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Perceived Age Reduction After Rhytidoplasty: A Randomized Clinical Trial Comparing Three Surgical Techniques Using Human and AI Assessment.
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.
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.
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