Class

Wrinkling

Score

I

Fine wrinkles

1 - 3

Mild: fine texture changes with subtly accentuated skin lines.

II

Fine to moderate depth wrinkles

Moderate number of lines

4- 6

Moderate: distinct popular elastosis (individual papules with yellow translucency) and dyschromia.

III

Fine to deep wrinkles, numerous lines

With or without redundant skin folds

7 - 9

Severe: multipapular and confluent elastosis (thickened, yellow and pallid) approaching with cutis rhomboidalis.