Aesthetic satisfaction scoring - introducing an aesthetic numeric analogue scale (ANA-scale)

J Craniomaxillofac Surg. 2012 Jul;40(5):439-42. doi: 10.1016/j.jcms.2011.07.018. Epub 2011 Aug 27.


To objectively and reproducibly assess the outcome of aesthetic procedures remains one of the major, unmet challenges in maxillo-facial and plastic surgery. Frequently employed scoring systems for the evaluation of aesthetic procedures are confounded by observer bias, be it that of the patient or of the surgeon. A new approach of pragmatic and simple scoring is the ANA [Aesthetic Numeric Analogue] scale, which facilitates the objective, reproducible, standardized and internationally uniform evaluation of aesthetic procedure outcome by converting all ratings for any kind of aesthetic procedures from a subjective value to an objective figure. The intention of the ANA-scale is to relate aesthetic satisfaction from wording to figures and by this create a rating system. The study is arranging matching pairs of verbal description and figures to finally queue up generating a scale. The clinical feasibility of this rating system is demonstrated in a surgical case. As a detail of the results the influence of the viewer's age to the aesthetic benefit assessment is obvious. In summary the ANA-scale looks to be a tool useful in individual treatment protocols as well as analysis of different techniques of aesthetic surgery for rating of the pure aesthetic satisfaction of the patients.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Esthetics, Dental*
  • Feasibility Studies
  • Female
  • Humans
  • Middle Aged
  • Oral Surgical Procedures / psychology*
  • Outcome Assessment, Health Care / statistics & numerical data*
  • Patient Satisfaction*
  • Plastic Surgery Procedures / psychology*
  • Reproducibility of Results
  • Self Report
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult