Validated Assessment Scales for Cellulite Dimples on the Buttocks and Thighs in Female Patients. (August 2019)

• Record Type: Journal Article
• Authors: Hexsel, Doris; Fabi, Sabrina Guillen; Sattler, Gerhard; Bartsch, Rolf; Butterwick, Kimberly; Casabona, Gabriela; Yen-Yu Chao, Yates; Costa, Joana; Eviatar, Joseph; Geister, Thorin L.; Goldie, Kate; Grice, Jenny; Kerscher, Martina; Lorenc, Paul; Lupo, Mary; Peeters, Wouter; Pooth, Rainer; Waldorf, Heidi A.; Yutskovskaya, Yana; Kaminer, Michael S.
• Is Part Of: Dermatologic surgery. Volume 45(2019)Supplement 1
• Publication Date: 2019-08
• Subjects: Skin -- Surgery -- Periodicals; Skin -- Diseases -- Surgery -- Periodicals; 617.477
• DOI: 10.1097/DSS.0000000000001993
• Languages: English
• ISSNs: 1076-0512

Abstract

Abstract : BACKGROUND: New treatment methods for cellulite require globally accepted scales for aesthetic research and patient evaluation. OBJECTIVE: To develop a set of grading scales for objective assessment of cellulite dimples on female buttocks and thighs and assess their reliability and validity. MATERIALS AND METHODS: Two photonumeric grading scales were created and validated for dimples in the buttocks in female patients: Cellulite Dimples—At Rest, and Cellulite Dimples—Dynamic. Sixteen aesthetic experts rated photographs of 50 women in 2 validation sessions. Responses were analyzed to assess inter-rater and intra-rater reliability. RESULTS: Overall inter-rater reliability and intra-rater reliability were both "almost perfect" (≥0.81, intraclass correlation efficient and weighted kappa) for the At Rest scale. For the Dynamic scale, inter-rater reliability and intra-rater reliability were "substantial" (0.61–0.80). There was a high correlation between the cellulite scales and body mass index, age, weight, and skin laxity assessments. CONCLUSION: Consistent outcomes between raters and by individual raters at 2 time points confirm the reliability of the cellulite dimple grading scales for buttocks and thighs in female patients and suggest they will be a valuable tool for use in research and clinical practice.