This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Aging/ Geriatrics  • Dermatology  • Cosmetic Surgery/ Procedures  • Facial Plastic Surgery, Other  • Alert me on articles by topic

Paul J. Carniol, MD

Arch Facial Plast Surg. 2008;10(4):244-245.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In terms of results, carbon dioxide laser resurfacing remains the gold standard. Ward and Baker¹ have presented an excellent and needed retrospective review of the long-term results of carbon dioxide laser resurfacing in 47 patients. Using a scale described by Lemperle et al² in 2001, they reported a mean improvement of 45% in the facial rhytid score. They also reported decreased efficacy in treating perioral rhytids and, in agreement with other authors,^3-4 ascribed the decrease in efficacy to muscular activity in the perioral region. This phenomenon is also seen during treatment of lateral canthal rhytids, which have a substantial muscular component.

In addition to muscular activity, another factor that can affect the results of resurfacing is the depth of the rhytid. In the perioral region, as can be seen histologically, rhytids can extend well into the reticular dermis. Typically, to minimize the risk of hypertrophic scarring . . . [Full Text of this Article]

AUTHOR INFORMATION