Document Detail

Update on perioral cosmetic enhancement.
MedLine Citation:
PMID:  18626254     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: As our understanding of the perioral region advances and procedures available for its treatment increase, we are more able to successfully treat the aged perioral region with minimal risk. The aged perioral region has traditionally been rejuvenated by direct surgical excision, chemical peels, and laser resurfacing. Many minimally invasive techniques are now employed for this purpose, including chemodenervation, use of soft tissue fillers, and fat grafting. RECENT FINDINGS: Over the last couple of decades, rejuvenation techniques have evolved to include chemodenervation, soft tissue fillers, fat grafting, and dermabrasion. The present article will review the most recent literature regarding the use of these techniques for various perioral age-related changes, including rhytids, labiomental folds, nasolabial folds, lip-cheek grooves, and thinning lips. Often, these modalities are combined to give the most natural aesthetic result. SUMMARY: An increase in our armamentarium of techniques and general understanding of the complex perioral region allows us to treat the area quite effectively with minimal risk. Volume loss, a key component of perioral aging, is best addressed with soft tissue fillers and autologous fat. In addition, botulinum toxin helps rest some of the key muscles responsible for perioral rhytids. Facial resurfacing techniques are still crucial adjuncts in the rejuvenation of this area, and they may be the only treatment that adequately addresses multiple deeper perioral rhytids.
Amar C Suryadevara
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in otolaryngology & head and neck surgery     Volume:  16     ISSN:  1531-6998     ISO Abbreviation:  Curr Opin Otolaryngol Head Neck Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-15     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417024     Medline TA:  Curr Opin Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  347-51     Citation Subset:  IM    
Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, New York 13210, USA.
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MeSH Terms
Adipose Tissue / transplantation
Biocompatible Materials
Botulinum Toxin Type A / adverse effects,  therapeutic use
Chemexfoliation / methods
Dermabrasion / methods
Follow-Up Studies
Laser Therapy / methods
Lip / physiopathology,  surgery*
Prostheses and Implants
Skin Aging / physiology
Surgery, Plastic / methods*
Treatment Outcome
Reg. No./Substance:
0/Biocompatible Materials; 0/Botulinum Toxin Type A

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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