Table 1. Skin laxity grading scale according to AALS

Grade	Descriptive parameter	Laxity
0	None	None
1	Mild	Localized to nasolabial folds
1.5	Mild	Localized, nasolabial folds and early melolabial folds (Marionette lines)
2	Moderate	Localized, nasolabial folds/ Marionette lines, early jowls, early submandibular
2.5	Moderate	Localized, prominent nasolabial folds/ Marionette lines, jowls and submandibular
3	Advanced	Prominent nasolabial folds/ Marionette lines, jowls and submandibular, early neck strands
3.5	Advanced	Deep nasolabial folds/ Marionette lines, prominent jowls and submandibular, prominent neck strands
4	Severe	Marked nasolabial folds/ Marionette lines, jowls and submandibular, neck redundancy and strands