Evidence map›Paper›PMID 42158409›Full record

ReviewCureus2026

The Beauty Health Index (BHI): A Proposed Framework for Quantifying Facial Aesthetic Health.

Kyriaki Alevrogianni, Spero Theodorou

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Kyriaki AlevrogianniSurgery, 401 General Military Hospital of Athens, Athens, GRC.
Spero TheodorouPlastic Surgery, Zucker School of Medicine at Hofstra University, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Facial aesthetic health is one of the most visible indicators of well-being, yet unlike cardiovascular fitness, metabolic status, or sleep quality, it lacks a standardized measurement method. Existing approaches evaluate isolated elements such as wrinkles, pigmentation, symmetry, or contour, although appearance is shaped jointly by structural anatomy, skin physiology, expression patterns, regenerative capacity, and lifestyle behaviors. No current framework integrates these components into a single interpretable score. This gap limits clinical practice: dermatologists rely on subjective grading scales, surgeons assess proportion in isolation, and consumer applications offer non-validated "beauty scores." The Beauty Health Index (BHI) is proposed as a multidomain framework for the standardized assessment and longitudinal tracking of facial aesthetic health. To develop and present a multidomain framework for the structured assessment of facial aesthetic health by integrating biologically relevant determinants into a single composite index. A structured review of literature in aesthetic surgery, dermatology, psychophysiology, regenerative biology, and lifestyle medicine informed the identification of five core domains: morphologic harmony, skin quality, expression dynamics, regenerative performance, and lifestyle influence, encompassing multiple evidence-based factors. Domain weighting was guided by literature-informed appraisal and iterative refinement to ensure balanced representation of intrinsic, extrinsic, and behavioral contributors. The BHI framework integrates 40 evidence-based subsystems across five domains into a composite score intended to reflect global facial aesthetic health. Theoretical modeling suggests proportional domain contributions and mathematically stable behavior across simulated parameter ranges, without dominance of any single subsystem. The BHI introduces a novel framework for the integrated assessment of facial aesthetic health. By combining morphologic characteristics, skin quality, expression dynamics, regenerative biology, and lifestyle factors into a unified structure, it is designed to support longitudinal evaluation, personalized planning, and structured assessment of treatment- and product-related changes. The BHI is proposed as an initial framework grounded in existing evidence, and further studies are required to evaluate its reliability, validity, and clinical applicability.

Indexed as

aesthetic medicinebeauty indexfacial aestheticsfacial agingskin biomarkersskin quality

Identifiers

PMID42158409
PMCPMC13182671

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.