Welcome to the I.T.A.S.C.A.R. evaluation method.
Thank you for your interest.
I.T.A.S.C.A.R. was created with a clear aim: to build a shared, objective, and reproducible language for the evaluation of acne scars..
Developed by the clinical dermatology team of Dermacademy, I.T.A.S.C.A.R. is a scale designed by clinicians for clinicians, to overcome subjectivity in the evaluation of acne scars and to make therapeutic outcomes measurable and comparable, both in daily clinical practice and in research.
Why I.T.A.S.C.A.R.
In the treatment of acne scars, the lack of a simple and standardized metric has long represented a clinical and scientific limitation.
I.T.A.S.C.A.R. was designed to be:
- Simple – usable within a few minutes during the consultation
- Rapid – applicable in routine outpatient practice
- Reproducible – independent of the operator
- Sensitive to change – suitable for follow-up and for comparison between treatments
The system is based on two fundamental principles:
- Standardized facial areas, defined by constant anatomical landmarks
- Weighted scoring, which reflects true clinical impact by combining the number, size, and severity of scars
What the Official I.T.A.S.C.A.R. Toolkit includes
By downloading the toolkit, you will have access to everything you need to get started immediately:
- Quick guide to using the scale
A clear explanation of the I.T.A.S.C.A.R. philosophy and scoring methodology. - Printable assessment form (PDF)
To be used during consultations for standardized collection of clinical data. - Validated scoring structure
With a wide range (0–300) for sensitive and comparable assessment over time.
How I.T.A.S.C.A.R. works
Facial subdivision
The face is divided into four standardized anatomical areas:
- Forehead
- Right cheek
- Left cheek
- Central area
This subdivision is based on stable anatomical landmarks (ocular canthi, oral commissure, mandible), ensuring that each clinician assesses the same areas, in the same way.
Assessment of each area
For each area, three scores are assigned:
- Score A – Total number of scars
- Score B – Number of scars > 2 mm
- Score C – Clinical severity, also assessed using the skin “stretching” maneuver
Score calculation
- Area score:: A × B × C
- Total facial score: sum of the four areas
A simple system, yet highly informative.
Who I.T.A.S.C.A.R. is intended for
Download I.T.A.S.C.A.R. Toolkit
Start using I.T.A.S.C.A.R. in your clinical practice today.
DOWNLOAD
Download I.T.A.S.C.A.R. Toolkit
Start using I.T.A.S.C.A.R. in your clinical practice today.
DOWNLOAD
Join the Validation Study
We are actively seeking collaborators for a multicenter study to validate and refine the scale. If you are passionate about bringing objective data into dermatology, we would love to hear from you.
