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The Objective Stretch Marks Photonumeric Assessment Scale: A New and Complete Method to Assess Striae Distensae
Simone La Padula1,2,3, Barbara Hersant1, Chiara Pizza1
1From the Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, University Paris XII.
Plastic and Reconstructive Surgery
|January 25, 2023
Summary
A new Objective Stretch Marks Assessment Scale was developed to objectively evaluate striae distensae severity. This validated tool provides reliable and reproducible measurements for clinical research on stretch marks.
Area of Science:
- Dermatology
- Medical assessment tools
Background:
- Current striae distensae evaluation criteria lack objective assessment.
- Need for a standardized, objective method to quantify striae distensae severity.
Purpose of the Study:
- To develop and validate an objective scale for assessing striae distensae severity.
- To create a reliable tool for evaluating stretch mark treatment outcomes.
Main Methods:
- Development of photonumeric grading scales for various body areas.
- Validation using the Rasch model and reliability testing (interrater and test-retest).
- Inclusion of 700 White patients in the assessment.
Main Results:
- Eight photonumeric scales for striae distensae treatment outcomes were created.
- Scales demonstrated excellent acceptability, reliability, and validity.
- Good interrater and intrarater reliability was confirmed for the total score.
Conclusions:
- The Objective Stretch Marks Assessment Scale is a validated, reliable, and reproducible tool.
- The scale serves as a valuable new metric for clinical research in striae distensae.
- Facilitates objective assessment of stretch mark severity and treatment efficacy.

