rhytides%20(wrinkles)
RHYTIDES (WRINKLES)
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.

Definition

  • Visible creases or folds in the skin
    • Fine wrinkles: <1 mm in width and depth
    • Coarse wrinkles: ≥1 mm in width and depth
  • Formed by dermal atrophy and repetitive contraction of underlying facial musculature

Etiology

  • Intrinsic factors
    • Aging
    • Hormonal status
    • Intercurrent diseases
  • Extrinsic factors
    • Ultraviolet radiation exposure
    • Cigarette smoke
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