Rhytides perioral

Several areas of the face require particular consideration. Care must be taken in the periorbital area to prevent any excess TCA solution from rolling into the eye, and as such TCA should not be applied to the upper eyelid. If tearing occurs, this can be gently wicked using a cotton-tipped appUcator. With areas of deeper rhytides such as in the perioral area, the wrinkled skin should be stretched and the TCA applied over the folds. In addition, TCA should be applied evenly over the lip skin to the vermiUion. 

Baker s solution is particularly useful for perioral rhytides and for crosshatched corrugated lateral facial rhytides which occur with severe photoaging. It can also be applied to minimize wrinkling in the vermilhon part of the hp. For very deep wrinkles a broken wood appHcator stick can be used to scrub the peeHng agents into deep perioral rhytides. 

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