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. 2024 May 10;18(1):210. doi: 10.1007/s11701-024-01871-4

Table 2.

The Scar Cosmesis Assessment and Rating (SCAR) scale

Parameter Descriptor Score
Clinician questions 0
Scar spread None/near invisible 0
Pencil-thin line 1
Mild spread, noticeable on close inspection 2
Moderate spread, obvious scarring 3
Severe spread 4
Erythema None 0
Light pink, some telangiectasias may be present 1
Red, many telangiectasias may be present 2
Deep red or purple 3
Dyspigmentation Absent 0
Present 1
Suture marks Absent 0
Present 1
Hypertrophy/atrophy None 0
Mild: palpable, barely visible hypertrophy or atrophy 1
Moderate: clearly visible hypertrophy or atrophy 2
Severe: marked hypertrophy or atrophy or keloid formation 3
Overall impression Desirable scar 0
Undesirable scar 1
Patient questions
Itch No 0
Yes 1
Pain No 0
Yes 1