DEGREES ELASTOSIS
The Fitzpatrick classification scale for wrinkles and elastosis divide patients into the following groups:
- Type I: Mild elastosis, fine textural changes with subtly accentuated skin lines.
- Type II: Moderate elastosis, distinct papular elastosis, individual papules with yellow translucency under direct lighting, and dyschromia.
- Type III: Severe elastosis, multipapular and confluent elastosis with yellow and pallid skin and the appearance of deep rhomboidal wrinkles.
The Glogau classification, that defines photoaging with the most precision divides patients into four groups:
Early Photoaging: Typical Age 20-30 years
- No wrinkles
- Early stage
- Milod pigment changes
- No keratosis
- Minimal wrinkles
Early to moderate photoaging: Typical Age 30-40 years
- Wrinkles in motion
- Early to moderate photoaging
- Early brown spots visible
- Keratosis palpable but not visible
- Smile lines begin to appear
Advanced photoaging: Typical average age 50 (40 to 60 years depending on solar damage)
- Profuse wrinkling
- Severe photoaging
- Dyschromias, telangiectasias
- Visible keratosis
- Wrinkles, at rest, average age 50
Wrinkles: Typical Age 60-70 years
- Only wrinkles
- Severe photoaging
- Yellow-grey skin colour
- Prior malignancies
- Wrinkles throughout