Sagging Skin

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Ethosseo - One of the best experts on this subject based on the ideXlab platform.

M De La Casa Almeida - One of the best experts on this subject based on the ideXlab platform.

  • intra and inter observer reliability of the application of the cellulite severity scale to a spanish female population
    Journal of The European Academy of Dermatology and Venereology, 2013
    Co-Authors: M De La Casa Almeida, Suarez C Serrano, J Jimenez J Rejano, Chillon R Martinez, E Medrano M Sanchez, Rebollo J Roldan
    Abstract:

    Background  ‘Hexsel, dal’Forno and Hexsel Cellulite Severity Scale’ (CSS) was developed to evaluate cellulite with an objective and easy to apply tool. Objective  Study CSS intra- and inter-observer reliability in a Spanish female population by evaluating patients’ cellulite through photographs of their overall gluteofemoral zone as opposed to its creators who distinguished between buttocks and thigh. Methods  Cellulite Severity Scale was applied to 27 women, evaluating gluteofemoral cellulite, differentiating between left and right. Evaluations were made by three expert examiners each at three times with a 1-week separation. Variables were the five CSS dimensions (number of evident depressions; depth of depressions; morphological appearance of Skin surface alterations; grade of laxity, flaccidity, or Sagging Skin; and the Nurnberger and Muller classification scale), and the overall CSS score. Cronbach’s alpha, intra-class correlation and item total correlation were analysed. Results  Cronbach’s alpha values were 0.951 (right) and 0.944 (left). In the intra-observer reliability analysis, intra-class correlation coefficient ranged from 0.993 to 0.999 (P < 0.001) and in the inter-observer analysis were 0.937 (right) and 0.947 (left) (P < 0.001). Item total correlation showed all dimensions to be needed except grade of laxity, flaccidity or Sagging Skin (0.959 right; 0.955 left). Conclusion  Cellulite Severity Scale has excellent reliability and internal consistency when used to evaluate cellulite on the buttocks and back of the thighs considered together. Nevertheless, the dimension grade of laxity, flaccidity or Sagging Skin does not contribute positively to the final consistency of the scale. This dimension needs to be analysed in greater depth in future studies.

  • Intra- and inter-observer reliability of the application of the cellulite severity scale to a Spanish female population
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2012
    Co-Authors: M De La Casa Almeida, J Jimenez J Rejano, E Medrano M Sanchez, C. Suarez Serrano, R. Chillón Martínez, J. Rebollo Roldán
    Abstract:

    Background  ‘Hexsel, dal’Forno and Hexsel Cellulite Severity Scale’ (CSS) was developed to evaluate cellulite with an objective and easy to apply tool. Objective  Study CSS intra- and inter-observer reliability in a Spanish female population by evaluating patients’ cellulite through photographs of their overall gluteofemoral zone as opposed to its creators who distinguished between buttocks and thigh. Methods  Cellulite Severity Scale was applied to 27 women, evaluating gluteofemoral cellulite, differentiating between left and right. Evaluations were made by three expert examiners each at three times with a 1-week separation. Variables were the five CSS dimensions (number of evident depressions; depth of depressions; morphological appearance of Skin surface alterations; grade of laxity, flaccidity, or Sagging Skin; and the Nurnberger and Muller classification scale), and the overall CSS score. Cronbach’s alpha, intra-class correlation and item total correlation were analysed. Results  Cronbach’s alpha values were 0.951 (right) and 0.944 (left). In the intra-observer reliability analysis, intra-class correlation coefficient ranged from 0.993 to 0.999 (P 

Hytham Jamjom - One of the best experts on this subject based on the ideXlab platform.

  • post bariatric surgery satisfaction and body contouring consideration after massive weight loss
    North American Journal of Medical Sciences, 2013
    Co-Authors: Saleh M Aldaqal, Ahmad M Makhdoum, Ali M Turki, Basim A Awan, Osama A Samargandi, Hytham Jamjom
    Abstract:

    Background: Following a bariatric surgery and massive weight-loss, the outcome is usually sullied by consequences on the body's contour and redundant Skin. Aims: We aimed to record the frequency of contour irregularities and quantify patients' satisfaction with appearance and anticipations from body contouring surgery. Materials and Methods: The ethical committee at King Abdulaziz University Hospital approved the study, and patients were consented. A cross-sectional study targeting the post-bariatric patients from May 2011 to April 2012 was conducted at our hospital. We used post-massive weight loss Satisfaction Questionnaire. Results: The total numbers of patients were 64 (51 women and 13 men), of which 57 patients (89.2%) developed Sagging Skin. Most patients were dissatisfied with their appearance after weight loss. The most common zones were the upper arms (50%) and abdomen (45%). Considerably more women (36.2%) than men (24%) were dissatisfied with certain body areas. The most noticeable expectation of patients from body contouring surgery was improved cosmetic appearance (65.6%) and self-confidence (64.1%). More women (70.58%) than men (46.15%) expected a better cosmetic appearance after body contouring ( P = 0.003). Conclusion: After bariatric surgery, Sagging excess Skin is an unsatisfactory problem. Therefore, body contouring surgery must be included in morbid obesity management.

J. Rebollo Roldán - One of the best experts on this subject based on the ideXlab platform.

  • Intra- and inter-observer reliability of the application of the cellulite severity scale to a Spanish female population
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2012
    Co-Authors: M De La Casa Almeida, J Jimenez J Rejano, E Medrano M Sanchez, C. Suarez Serrano, R. Chillón Martínez, J. Rebollo Roldán
    Abstract:

    Background  ‘Hexsel, dal’Forno and Hexsel Cellulite Severity Scale’ (CSS) was developed to evaluate cellulite with an objective and easy to apply tool. Objective  Study CSS intra- and inter-observer reliability in a Spanish female population by evaluating patients’ cellulite through photographs of their overall gluteofemoral zone as opposed to its creators who distinguished between buttocks and thigh. Methods  Cellulite Severity Scale was applied to 27 women, evaluating gluteofemoral cellulite, differentiating between left and right. Evaluations were made by three expert examiners each at three times with a 1-week separation. Variables were the five CSS dimensions (number of evident depressions; depth of depressions; morphological appearance of Skin surface alterations; grade of laxity, flaccidity, or Sagging Skin; and the Nurnberger and Muller classification scale), and the overall CSS score. Cronbach’s alpha, intra-class correlation and item total correlation were analysed. Results  Cronbach’s alpha values were 0.951 (right) and 0.944 (left). In the intra-observer reliability analysis, intra-class correlation coefficient ranged from 0.993 to 0.999 (P 

Rebollo J Roldan - One of the best experts on this subject based on the ideXlab platform.

  • intra and inter observer reliability of the application of the cellulite severity scale to a spanish female population
    Journal of The European Academy of Dermatology and Venereology, 2013
    Co-Authors: M De La Casa Almeida, Suarez C Serrano, J Jimenez J Rejano, Chillon R Martinez, E Medrano M Sanchez, Rebollo J Roldan
    Abstract:

    Background  ‘Hexsel, dal’Forno and Hexsel Cellulite Severity Scale’ (CSS) was developed to evaluate cellulite with an objective and easy to apply tool. Objective  Study CSS intra- and inter-observer reliability in a Spanish female population by evaluating patients’ cellulite through photographs of their overall gluteofemoral zone as opposed to its creators who distinguished between buttocks and thigh. Methods  Cellulite Severity Scale was applied to 27 women, evaluating gluteofemoral cellulite, differentiating between left and right. Evaluations were made by three expert examiners each at three times with a 1-week separation. Variables were the five CSS dimensions (number of evident depressions; depth of depressions; morphological appearance of Skin surface alterations; grade of laxity, flaccidity, or Sagging Skin; and the Nurnberger and Muller classification scale), and the overall CSS score. Cronbach’s alpha, intra-class correlation and item total correlation were analysed. Results  Cronbach’s alpha values were 0.951 (right) and 0.944 (left). In the intra-observer reliability analysis, intra-class correlation coefficient ranged from 0.993 to 0.999 (P < 0.001) and in the inter-observer analysis were 0.937 (right) and 0.947 (left) (P < 0.001). Item total correlation showed all dimensions to be needed except grade of laxity, flaccidity or Sagging Skin (0.959 right; 0.955 left). Conclusion  Cellulite Severity Scale has excellent reliability and internal consistency when used to evaluate cellulite on the buttocks and back of the thighs considered together. Nevertheless, the dimension grade of laxity, flaccidity or Sagging Skin does not contribute positively to the final consistency of the scale. This dimension needs to be analysed in greater depth in future studies.

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