The SPA measure assesses a patient’s self-reportedage-related appearance over the previous 7 days.7
Patients are asked to document whether they feel that they look younger relative to their current age, looktheir current age, or look older relative to their current age. If patients feel that they look older or younger, they must indicate by how many years.
Beer4 was one of the fist to report on the utilization of the FLO Questionnaire. In a single-center, double-blind, placebo-controlled study (N=77), BoNTA (Btotx, 20 U) was compared with several topical agents (StriVectin-SD , DFF Wrinkle RelaxTM, and Hydroderm TM) for the treatment of glabellar rhytides.
An investigator assessment of glabellar line severity at maximal contraction and rest on the 4-point Facial Wrinkle Scale (0=none, 1=mild, 2=moderate, and 3=severe) was performed. Secondary assessments included the patient’s global assessment of overall change in appearance, glabllar-related perceptions (as determined via a 9-point scale whese +4=complete improvement, 0=umchanged, and -4=very marked worsening, and by a 4-item subset of all glabellar-specific items contained on the FLO Questionnaire), and satisfaction with treatment (“very dissatisfied,” “dissatisfied,” “neither,” “satisfied,” or “very satisfied”).