CLINICAL PROFILE OF FEMALE PATIENTS WITH INVOLUTIONAL CHANGES IN THE FACIAL AND NECK SKIN

Objective. To assess the clinical profile of female patients with complaints of involutional changes in the face and neck planning to undergo contouring surgery for facial/neck correction. Materials. This study is based on a prospective analysis of 210 fe-male patients with involutional changes in the face and neck who consulted an aesthetic surgeon. Results. The mean age of the patients was (52.51±4.94) years (range 36-65). The majority were middle-aged (46-65 years) – 92.86%. Women aged 36-45 years most often considered the upper third of the face as problematic, those aged 46-55 years focused on the middle/lower third of the face, and those aged 56-65 years identified the middle part of the face and neck as problem areas. The average score for subjective assessment of facial involution was 3.35 points (range 2-4). Younger patients rated the severity of their facial changes with lower scores, while patients over 55 years old tended to choose a score of four. Four typical morphotypes of facial aging were identified: tired or gravitational morphotype (27.14%), fine-wrinkled morphotype (17.14%), deformational morphotype (35.71%), and combined morphotype (20.0%). Conclusions. The majority of patients (88.6%) indicated that problematic areas involved various thirds of the face: the middle third of the face (60.47%), the lower third of the face (43.81%), and the neck (24.28%). Younger patients rated the severity of involutional changes in their face with lower scores, whereas a significant number of patients over 55 years old chose a score of four. The first type of Glogau aging was most common among patients with a fine-wrinkled morphotype, the second type with a gravitational morphotype, and the third and fourth types with a deformational morphotype.