Acne Scars: How Do We Grade Them?

Ashley K. Clark, Suzana Saric, Raja K Sivamani

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Acne vulgaris is a chronic inflammatory skin disease that can lead to permanent scarring. Although grading scales exist for acne scarring, there are many limitations, and there is still a need for a well validated gold standard scale for use in clinical practice or research trials. An objective measure of scar severity should be a component of global acne severity evaluations. This manuscript reviews currently available acne scar grading modalities: lesion counting; subjective self-assessment; Acne Scar Rating Scale (ASRS); evaluator-based qualitative and quantitative scarring grading systems; Echelle d’Evaluation Clinique des Cicatrices d’acne (ECCA); Global Scale for Acne Scar Severity (SCAR-S); and imaging. Despite the varying tools, most of the currently available scales do not account for scar color, depth, or change over time. A new, validated scale is needed that would allow for a more objective and accurate assessment of scar progression over time to assist with effective treatment and research.

Original languageEnglish (US)
Pages (from-to)139-144
Number of pages6
JournalAmerican Journal of Clinical Dermatology
Issue number2
StatePublished - Apr 1 2018

ASJC Scopus subject areas

  • Dermatology


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