Rhytides or wrinkles are visible creases or folds in the skin.
Fine wrinkles is <1 mm in width while coarse wrinkles is >1 mm in width.
The decision to treat wrinkles depends on the degree that they bother the patient, the nature and severity of the wrinkles, and the patient's willingness to accept the risks and costs of treatment.
The patient should understand that protection from the sun at any age will reduce the risk of photoaging (including wrinkles), actinic keratoses and squamous cell cancer.
Moghimipour E. Hydroxy acids, the most widely used anti-aging agents. Jundishapur J Nat Pharm Prod. 2012;7(1):9-10. https://www.ncbi.nlm.nih.gov/. PMID: 24624144
Oakley A. Facial lines and wrinkles. DermNet NZ. http://www.dermnetnz.org/. 2019.
Obagi S. Chemical peels: principles, peeling agents, and pretreatment assessment. UpToDate. http://www.uptodate.com/. Jun 2019.
Perkins SW, Waters HH. Management of aging skin. In: Flint PW, Haughey BH, Lund V, et al eds. Cummings Otolaryngology . 6th ed: Saunders, an imprint of Elsevier Inc; 2015.
Rendon MI, Berson DS, Cohen JL, et al. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthetic Dermatol. 2010;3(7):32–43. https://www.ncbi.nlm.nih.gov/. PMID: 20725555
Small R. Botulinum toxin injection for facial wrinkles. Am Fam Physician. 2014 Aug;90(3):168-175. https://www.aafp.org/afp/2014/0801/p168.html. PMID: 25077722
Smeltzer WL. Cosmeceuticals and skin care. In: Fowler GC ed. Pfenninger and Fowler's Procedures for Primary Care. 4th ed: Elsevier Inc.; 2019.
Stuziin JM. Facelift: the extended SMAS technique in facial rejuvenation. In: Rubin JP, Neligan PC, eds. Plastic Surgery: Volume 2: Aesthetic Surgery. 4th ed: Elsevier Inc.; 2018.