420 JOURNAL OF COSMETIC SCIENCE
Figure 9. (A) Standardized images—such as the Canfield Visia (Canfield Scientific, Parsippany, NJ) image
seen here—do not provide as much information as a questionnaire and therefore are limited as far as providing
a skin type diagnosis. However, they are ideal for tracking changes and making comparisons to baseline
images. They can be used to keep patients engaged and motivated to be compliant with the prescribed skin
care regimen. The percentile represents how “good” the skin is compared to others of the same gender, age,
and skin color. A higher percentage is better and can be read as “Better than X%.” This image is a baseline
image of a BST 15: DRPW. The image shows redness, but skin sensitivity was not detected in the BSTI, so she
was assigned to a resistant skin type rather than a sensitive one. This allows for a more robust skin lightening
routine and demonstrates how the quiz results override photographic findings. (B) Same patient at 4-week
follow-up after using the correct skin care routine for a BST 15: DRPW. She was treated with exfoliants,
tyrosinase inhibitors, barrier repair moisturizers, antioxidants, and a retinoid. Improvement is seen (a higher
percentage) in the wrinkle, UV spot, and brown spot scores.
Figure 9. (A) Standardized images—such as the Canfield Visia (Canfield Scientific, Parsippany, NJ) image
seen here—do not provide as much information as a questionnaire and therefore are limited as far as providing
a skin type diagnosis. However, they are ideal for tracking changes and making comparisons to baseline
images. They can be used to keep patients engaged and motivated to be compliant with the prescribed skin
care regimen. The percentile represents how “good” the skin is compared to others of the same gender, age,
and skin color. A higher percentage is better and can be read as “Better than X%.” This image is a baseline
image of a BST 15: DRPW. The image shows redness, but skin sensitivity was not detected in the BSTI, so she
was assigned to a resistant skin type rather than a sensitive one. This allows for a more robust skin lightening
routine and demonstrates how the quiz results override photographic findings. (B) Same patient at 4-week
follow-up after using the correct skin care routine for a BST 15: DRPW. She was treated with exfoliants,
tyrosinase inhibitors, barrier repair moisturizers, antioxidants, and a retinoid. Improvement is seen (a higher
percentage) in the wrinkle, UV spot, and brown spot scores.