Perioral rhytids can be successfully treated with various methods, including dermabrasion, carbon dioxide laser, filler and chemical peels. Ablative resurfacing is typically used to treat rhytides, dyschromia, and scarring. A novel electrosurgical technology was used in this study for treatment of perioral rhytides. The authors treated 15 patients (11 female and 4 male) for perioral rhytides with Voltaic arc dermoabrasion technique. Patient ages ranged between 30 and 65 years and the majority (90%) of these perioral areas had class II and III wrinkle scores. Voltaic arc dermoabrasion (PLEXR, GMV s.r.l. Grottaferrata, Italy). were used to remove the keratinized layer for point perioral area. Treatment is minimally painful and in the authors' experience require no anesthesia. No discomfort should be expected once the voltaic arc dermoabrasion treatment is concluded. The perioral dermis appears as a pale, erythematous, dull surface. Bleeding is not seen unless excessive abrading occurs with the saline-moistened gauze. No hyperpigmentation, hypopigmentation, erythema, ecchymosis, pain, itching, outbreaks of herpes, infectious processes and scarring was observed. In conclusion fine rhytides, particularly in the perioral areas may be completely eradicated with voltaic arc resurfacing; deeper creases are also improved, probably secondary to a general tightening effect

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