Step 02

SPE-M System

Systematic assessment in 4 domains: Skin, Ptosis, Structure and Mass.

The 4 Domains

S

Skin

  • Overall quality
  • Photodamage (spots, wrinkles)
  • Elastosis
  • Dynamic vs static wrinkles
P

Ptosis

  • Eyebrow (lateral ptosis)
  • Eyelid (dermatochalasis)
  • Midface (nasojugal fold)
  • Jowl (mandibular border)
  • Neck (platysmal bands)
E

Structure

  • Malar projection
  • Retrognathia
  • Cervicomental angle
  • Facial asymmetries
M

Mass/Muscle

  • Masseter hypertrophy
  • Platysmal bands
  • Submental fat
  • Malar volume

Grading Scale

0 Absent
1 Mild
2 Moderate
3 Severe
← Initial Assessment Vectors →