“…Clinical examination of the face assessed the extent of cutaneous photodamage using the photonumeric scale of Griffiths et al 24 This scale, ranging from 0 to 8, was designed to assess cutaneous photodamage, as portrayed by coarse and fine wrinkles, dyspigmentation, elastoidosis, and comedones. This photonumeric scale was shown to have good interobserver agreement and repeatability, proved superior to a descriptive grading system, 24 and has been considered suitable for epidemiologic studies of photoaging.…”