Abstract
Standardisation of image acquisition in Aesthetic Plastic Surgery is critical to accurately communicate changes from cosmetic surgical and non-surgical interventions. Depth of Field, Exposure, Perspective and point of view are the four factors that need to be replicated between photographic sessions to accurately represent these changes without the introduction of photographic bias. Despite many excellent articles on standardisation in plastic surgery photography, no paper fully discusses the four areas that lead to consistency in photographs taken at different times. Depth of field, exposure, perspective and point of view cover all the variables required. We have a system which locks many variables in place, leaving final composition matching to the photographer, the only area that needs intelligent input. There are also misunderstandings in the literature about some of these that need explanation, particularly exposure and perspective.
Highlights
Despite many excellent articles on standardisation in plastic surgery photography, no paper fully discusses the four areas that lead to consistency in photographs taken at different times
The purpose of most clinical photography in aesthetic or cosmetic facial procedures is to communicate the result of an intervention without photographic bias
Even excellent articles on standardisation have failed to appreciate perspective when looking at standardising photographs,[5,6,7,8] but the importance of distance has been recognised in others.[9,10,11]
Summary
The purpose of most clinical photography in aesthetic or cosmetic facial procedures is to communicate the result of an intervention without photographic bias. The relative positions of light source, subject, and background should not change, or matching images will not be possible between capture
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