Abstract
Perioral rhytides are a common reason for presentation to the cosmetic dermatologist.
Various treatment options exist, and it can be challenging to determine the optimal
technique to use in a given patient encounter. We herein provide a review article
highlighting various treatment options in the correction of perioral rhytides, focusing
on the roles of neurotoxin, filler, microneedling (with and without radiofrequency),
fractional resurfacing (nonablative and ablative), and fully ablative lasers, with
a brief mention of deep chemical peels. For each modality, we review the evidence
behind the specific technique, its advantages and disadvantages, post-procedural effects,
expected downtime, as well as the onset and duration of desired effects. Despite longstanding
debate regarding the "best" modality to use, we instead propose that the best approach
is a combination approach which takes into account he patient's treatment goals while
staying consistent with the expected amount of downtime. Importantly, we share clinical
pearls based on the senior authors direct patient experience as Director of Laser
and Cosmetic Dermatology at University of California, San Diego (UCSD).
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Article info
Publication history
Published online: November 24, 2021
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