merz aesthetics scales
a Universal Language of Aging

A comprehensive rating system that measures the skin’s ageing process

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Merz Aesthetics Scales

Now there’s a scientific way to demonstrate what you might expect from your aesthetics treatment. The Merz Aesthetics Scales™ is the first comprehensive rating system that measures the skin’s ageing process. 

Developed by a team of aesthetics experts, The Merz Aesthetics Scales give doctors a simple, five-point scales they can use to objectively rate age-related skin changes and share potential treatment results with their patients

 

MERZ SCALES MEASURE THE FOLLOWING AREAS

Upper face

With the Merz Aesthetics Scales, you will find a comprehensive rating system to measure skin changes of the upper face and evaluate treatment success.

Validated forehead lines grading scale – at rest

Merz scales-upperface-forhead-lines-at-rest

0=No lines | 1=Mild lines | 2=Moderate lines | 3=Severe lines | 4=Very severe lines

Validated forehead lines grading scale – dynamic (with expression)

Merz scales-upperface-forhead-lines-dynamic

0=No lines | 1=Mild lines | 2=Moderate lines | 3=Severe lines | 4=Very severe lines

Validated brow positioning grading scale

Merz scales-brow-positioning

0=Youthful, refreshed look; high arch eyebrow | 1=Medium arch eyebrow | 2=slight arch of the eyebrow | 3=Flat arch of the eyebrow; visibility of folds; tired appearance | 4=Flat eyebrow with barely any arch; marked visibility of folds; very tired appearance

Glabellar lines – at rest

Merz scales-upperface-glabella-lines-at-rest

0=No glabellar Lines | 1=Mild glabellar Lines | 2=Moderate glabellar lines | 3=Severe glabellar lines | 4=Very severe glabellar lines

Glabellar lines – dynamic

Merz scales-upperface-glabella-dynamic

0=No glabellar Lines | 1=Mild glabellar Lines | 2=Moderate glabellar lines | 3=Severe glabellar lines | 4=Very severe glabellar lines

Validated crow’s feet grading scale – at rest

Merz scales-upperface-crows-feet-at-rest

 

0=No wrinkles | 1=Mild glabellar Lines | 2=Moderate wrinkles | 3=Severe wrinkles | 4=Very severe wrinkles

Validated crow’s feet grading scale – dynamic (with expression)

Merz scales-upperface-crows-feet-dynamic

0=No wrinkles | 1=Mild glabellar Lines | 2=Moderate wrinkles | 3=Severe wrinkles | 4=Very severe wrinkles

MID FACE

With the Merz Aesthetics Scales, you will find a comprehensive rating system to measure skin changes of the midface and evaluate treatment success.

Infra-orbital hollow – at rest

Merz scales-mid-face-orbitalhollow-at-rest

0=No hollowness | 1=Mild hollowness | 2=Moderate hollowness | 3=Severe hollowness | 4=Very severe hollowness
 

Upper cheek fullness

Merz scales-mid-face-upper-cheek-fullness-at-rest

0=Full upper cheek | 1=Mildly sunken upper cheek | 2=Moderately sunken upper cheek | 3=Severely sunken upper cheek | 4=Very severely sunken upper cheek

Lower cheek fullness – at rest

Merz Lower cheek fullness

0=Full lower cheek | 1=Mildly sunken lower cheek | 2=Moderately sunken lower cheek | 3=Severely sunken lower cheek | 4=Very severely sunken lower cheek

LOWER FACE

With the Merz Aesthetics Scales, you will find a comprehensive rating system to measure skin changes of the lower face and evaluate treatment success.

Nasolabial folds – at rest

Merz scales-lower-face-nasolabial-folds-at-rest

0=No folds | 1=Mild folds | 2=Moderate folds | 3=Severe folds | 4=Very severe folds

Validated marionette lines grading scale

Merz scales-lower-face-oral-marionette-lines-at-rest

0=No lines | 1=Mild lines | 2=Moderate lines | 3=Severe lines | 4=Very severe lines

Upper lip fullness – at rest

Merz scales-lower-face-upper-lip-fullness-at-rest

0=Very thin | 1=Thin | 2=Moderately thick | 3=Thick | 4=Full

Lip wrinkles – at rest

Merz scales-lower-face-lip-wrinkles-at-rest

0=No wrinkles | 1=Mild wrinkles | 2=Moderate wrinkles | 3=Severe wrinkles | 4=Very severe wrinkles

Lip wrinkles – dynamic

Merz scales-lower-face-lip-wrinkles-dynamic

0=No wrinkles | 1=Mild wrinkles | 2=Moderate wrinkles | 3=Severe wrinkles | 4=Very severe wrinkles

Oral commissures – at rest

merz scales-lower-face-oral-commissures-at-rest

0=No downturn | 1=Mild downturn | 2=Moderate downturn | 3=Severe downturn | 4=Very severe downturn

Jawline – at rest

merz scales-lower-face-jawline-at-rest

0=No sagging | 1=Mild sagging | 2=Moderate sagging | 3=Severe sagging | 4=Very severe sagging

NECK, PLATYSMA AND HANDS

With the Merz Aesthetics Scales, you will find a comprehensive rating system to measure skin changes of neck and hand and evaluate treatment success.

Neck volume – at rest

merz scales-neck-volume-at-rest

0=No sagging | 1=Mild sagging | 2=Moderate sagging | 3=Severe sagging | 4=Very severe sagging

Platysmal Bands – Dynamic

merz scales-neck-platysmal-bands

0=No relevant prominence of platysmal bands | 1=Mild prominence of platysmal bands | 2=Moderate prominence of platysmal bands | 3=Severe prominence of platysmal bands | 4=Very severe prominence of platysmal bands

Validated hand grading scale

merz scales-hands

0=No loss of fatty tissue | 1=Mild loss of fatty tissue; slight visibility of veins | 2=Moderate loss of fatty tissue; mild visibility of veins | 3=Severe loss of fatty tissue; moderate visibility of veins | 4=Very severe loss of fatty tissue; marked visibility of veins bands

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