Lower face

Lower face

With the Merz Aesthetics Scales, you will find a comprehensive rating system to measure skin changes of the lower face and evaluate treatment success.


  • Nasolabial folds

    Nasolabial folds – at rest

    0=No folds | 1=Mild folds | 2=Moderate folds | 3=Severe folds | 4=Very severe folds

  • Marionette lines

    Validated marionette lines grading scale

    0=No lines | 1=Mild lines | 2=Moderate lines | 3=Severe lines | 4=Very severe lines

  • Lip fullness

    Upper lip fullness – at rest

    0=Very thin | 1=Thin | 2=Moderately thick | 3=Thick | 4=Full

  • Lip wrinkles

    Lip wrinkles – at rest

    0=No wrinkles | 1=Mild wrinkles | 2=Moderate wrinkles | 3=Severe wrinkles | 4=Very severe wrinkles

    Lip wrinkles – dynamic

    0=No wrinkles | 1=Mild wrinkles | 2=Moderate wrinkles | 3=Severe wrinkles | 4=Very severe wrinkles

  • Oral commissures

    Oral commissures – at rest

    0=No downturn | 1=Mild downturn | 2=Moderate downturn | 3=Severe downturn | 4=Very severe downturn

  • Jawline

    Jawline – at rest

    0=No sagging | 1=Mild sagging | 2=Moderate sagging | 3=Severe sagging | 4=Very severe sagging

Discover the Merz Institute of Advanced Aesthetics

 Merz Institute of Advanced Aesthetics

Education that empowers excellence

www.merz-institute.com