OVERALL WEIGHTED EVALUATION
Changes of Skin Color
Area of color slightly different
from neighboring skin,
apparent at 50 cm but not very
apparent at 3 m, total area is
< 10 cm2
and/or
area of color very different
from neighboring skin,
apparent at 3 m, total area is
< 2 cm2
Area of color slightly different
from neighboring skin,
apparent at 50 cm but not very
apparent at 3 m, total area is
≥ 10 cm2
and/or
area of color very different
from neighboring skin,
apparent at 3 m, total area is
≥ 2 cm2 but < 5 cm2
Area of color very different
from neighboring skin,
apparent at 3 m,
total area is ≥ 5 cm2 but
< 10 cm2
Area of color very differente
from neighboring skin,
apparent at 3 m,
Flat Scars
}
0.5
}
2
}
7
Total length is
< 5 cm
Total length is
≥ 5 cm but < 20 cm
Total length is
≥ 20 cm
}
Linear scars, total
length is < 2 cm
}
2
}
}
7
plaques, total area is
< 1 cm2
Linear scars, total
length is ≥ 2 cm but
< 5 cm
and/or
}
2
plaques, total area is
≥ 1 cm2 but < 3 cm2
Linear scars, total
length is ≥ 5 cm but
< 15 cm
and/or
}
7
plaques, total area is
≥ 3 cm2 but < 10 cm2
Linear scars, total
length is ≥ 15 cm
and/or
plaques, total area is
≥ 10 cm2 but < 25% of
the entire face
Extensive and
conspicuous scars, total
area is ≥ 25% but
< 50% of the entire
face
Extensive and
unsightly scars
corresponding to
disfiguration
*Note: See point 7 of evaluation rules in this chapter for the list of
anatomical elements to be evaluated.
}
Slight disfigurement of
0.5 1 anatomical element*
0.5 and/or
20
total area is ≥ 10 cm2
Changes to Form and Contours,
Non-Cicatricial Alopecia
Faulty Scars
Slight disfigurement of
2 or more anatomical
elements*
and/or
moderate
disfigurement of 1
anatomical element*
Moderate
disfigurement of 2 or
more anatomical
elements*
and/or
significant
disfigurement of 1
anatomical element*
}
}
}
Significant
disfigurement of 2 or
20 more anatomical
elements*
Severe and unsightly
disfigurement
40 affecting approximely
50% of the face
Deformation of almost
the entire face
80 corresponding to
disfiguration
Total Weighted Evaluation: _____Points
}
0.5
}
2
}
7
}
}
}
20
40
80