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Glogau Classification of Photoaging

Classifying the Severity of Wrinkles

From , former About.com Guide

Updated December 29, 2006

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The Glogau classification system was developed to objectively measure the severity of photoaging and especially wrinkles. It helps practitioners pick the best procedures to treat photoaging.
Glogau Classification of Photoaging
Group Classification Typical Age Description Skin Characteristics
I Mild 28-35 No wrinkles Early Photoaging: mild pigment changes, no keratosis, minimal wrinkles, minimal or no makeup
II Moderate 35-50 Wrinkles in motion Early to Moderate Photoaging: Early brown spots visible, keratosis palpable but not visible, parallel smile lines begin to appear, wears some foundation
III Advanced 50-65 Wrinkles at rest Advanced Photoaging: Obvious discolorations, visible capillaries (telangiectasias), visible keratosis, wears heavier foundation always
IV Severe 60-75 Only wrinkles Severe Photoaging: Yellow-gray skin color, prior skin malignancies, wrinkles throughout - no normal skin, cannot wear makeup because it cakes and cracks

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