How to Treat Skin Quality: A Consensus-Based Treatment Algorithm and Expert Guidance
Issued Date
2025-09-01
Resource Type
ISSN
14732130
eISSN
14732165
Scopus ID
2-s2.0-105013976257
Journal Title
Journal of Cosmetic Dermatology
Volume
24
Issue
S4
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Cosmetic Dermatology Vol.24 No.S4 (2025)
Suggested Citation
Kerscher M., Goldie K., Hirano C., Lowe S., Mariwalla K., Moore M., Park J.Y., Sajic D., Sattler S., Spada J., Vachiramon V., Viscomi B. How to Treat Skin Quality: A Consensus-Based Treatment Algorithm and Expert Guidance. Journal of Cosmetic Dermatology Vol.24 No.S4 (2025). doi:10.1111/jocd.70359 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111874
Title
How to Treat Skin Quality: A Consensus-Based Treatment Algorithm and Expert Guidance
Author's Affiliation
McMaster University
Universität Hamburg
Faculty of Medicine Ramathibodi Hospital, Mahidol University
University of the Incarnate Word
Rosenpark Klinik GmbH
CD Clínica Dermatológica
Derma Skin Institute
MUSE Clinic
Spada Dermatología y Estética
Mariwalla Dermatology
Apgujeong Oracle Dermatology Clinic
Bianca Viscomi Clínica Dermatológica
Goldie Aesthetics and Wellness
Universität Hamburg
Faculty of Medicine Ramathibodi Hospital, Mahidol University
University of the Incarnate Word
Rosenpark Klinik GmbH
CD Clínica Dermatológica
Derma Skin Institute
MUSE Clinic
Spada Dermatología y Estética
Mariwalla Dermatology
Apgujeong Oracle Dermatology Clinic
Bianca Viscomi Clínica Dermatológica
Goldie Aesthetics and Wellness
Corresponding Author(s)
Other Contributor(s)
Abstract
Introduction: Skin quality can be described using four emergent perceptual categories (EPCs): skin tone evenness, skin surface evenness, skin firmness, and skin glow. While the publication in which the EPCs were originally described by Goldie et al. notes possible treatments for each EPC, there remains a need for a resource to guide clinicians in treatment selection when addressing EPCs in clinical practice. Methods: Twelve expert aesthetic physicians from across the globe participated in this EPC working group. A modified Delphi method was used to develop a treatment algorithm. First, panelists ranked a range of aesthetic treatments based on their ability to directly improve a given EPC. A draft algorithm was developed and evaluated during a moderated discussion. The treatment algorithm was then updated and reviewed by each individual participant, with the appropriateness of treatments listed for each EPC ranked using the RAND/UCLA scale. The algorithm was again updated based on this feedback and presented to the group for final review and approval during another virtual meeting. Results: The treatment algorithm developed by the working group is presented here alongside clinical pearls and preferred approaches for managing each EPC. It is the hope of the working group that the algorithm can be applied in real-world clinical practice to improve patient skin quality and aesthetic outcomes. Conclusion: The presented guidance can serve as an approach to improving skin quality utilizing the framework of EPCs. The treatment algorithm may be applied to a range of skin types in practices across the globe.