| Group |
Classification |
Typical age (years) |
Description |
Skin characteristics |
| 1 |
Mild |
28–35 |
No wrinkles |
Early photoageing: mild pigment changes, no keratosis, minimal wrinkles, minimal or no make‐up |
| 2 |
Moderate |
35–50 |
Wrinkles in motion |
Early to moderate photoageing: early brown spots visible, keratosis palpable but not visible, parallel smile lines begin to appear, wears some foundation |
| 3 |
Advanced |
50–65 |
Wrinkles at rest |
Advanced photoageing: obvious discolorations, visible capillaries (telangiectasias), visible keratosis, wears heavier foundation always |
| 4 |
Severe |
60–75 |
Only wrinkles |
Severe photoageing: yellow‐grey skin colour, prior skin malignancies, wrinkles throughout. No normal skin, cannot wear makeup because it cakes and cracks |
