TABLE 302 Glogau Classification

Damage

Description

Characteristics

No wrinkles

Type II (moderate)

Wrinkles in motion

Type III (advanced)

Wrinkles at rest

Type IV (severe)

Only wrinkles

Early photoaging

Mild pigmentary changes No keratoses Minimal wrinkles Patient age: 20s or 30s Minimal or no makeup Minimal acne scarring

Early to moderate photoaging Early senile lentigines visible Keratoses palpable but not visible Parallel smile lines beginning to appear Patient age: late 30s or 40s Some foundation usually worn Mild acne scarring

Advanced photoaging

Obvious dyschromia, telangiectasias Visible keratoses

Wrinkles present even when not moving Patient age: 50s or older

Heavier foundation always worn

Acne scarring present—makeup does not cover

Severe photoaging Yellow-gray skin color Prior skin malignancies Wrinkles throughout, no normal skin Patient age: 60s or 70s

Makeup cannot be worn—it cakes and cracks Severe acne scarring

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