Day et al reported the Wrinkle Severity Rating Scale (ESRS) for grading facial wrinkles affecting the nasolabial region.
Site: nasolabial region
Parameters:
(1) visibility of nasolabial folds (NLF)
(2) skin appearance
(3) depth of nasolabial fold if stretched
|
Nasolabial Folds
|
Skin Features
|
Depth if Fold Stretched
|
Grade
|
|
none visible
|
continuous skin line
|
NA
|
1
|
|
shallow
|
slight indentation visible
|
disappears (0 mm)
|
2
|
|
moderately deep
|
visible at rest
|
disappears (0 mm)
|
3
|
|
very long and deep
|
prominent
|
fold < 2 mm
|
4
|
|
extremely long
|
prominent
|
fold >= 2 mm
|
5
|
