Treatment Guideline Chart
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.

Rhytides (Wrinkles) References

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  18. DeLeo VA. Sunscreens and photoprotection. In: Bolognia JL, Schaffer JV, Cerroni L. Dermatology. 4th ed: Elsevier Inc.; 2018.
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  24. Obagi S. Chemical peels: principles, peeling agents, and pretreatment assessment. UpToDate. http://www.uptodate.com/. Jun 2019.
  25. 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.
  26. 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
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