Table 1 The Scar Cosmesis Assessment and Rating (SCAR) scale
Parameter | Descriptor | Score |
|---|---|---|
Clinician questions | ||
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 | |