Razabrasion: An alternative approach to perioral rhytides

Area of Science:

• Plastic Surgery
• Dermatology
• Aesthetic Medicine

Background:

• Perioral rhytides often persist after rhytidectomy, causing patient dissatisfaction.
• Existing treatments like mechanical, chemical, or manual abrasion have limitations and risks.

Purpose of the Study:

• To introduce and evaluate a novel steel blade dermal shave technique, termed "razabrasion," for treating perioral rhytides.
• To assess the safety and efficacy of "razabrasion" as a management strategy for persistent perioral wrinkles.

Main Methods:

• A sterile commercial razor blade was manually oscillated to shave the dermis.
• Digital pressure controlled the depth and width of the shave for perioral rhytides.
• Eleven patients underwent the "razabrasion" procedure under local anesthesia.

Main Results:

• "Razabrasion" effectively eradicated all but the deepest perioral wrinkles in eleven patients.
• The procedure was performed without complication within a 19-month period.
• Synchronous facial operations were safe, provided undermining of shaved skin was avoided for six months post-procedure.

Conclusions:

• "Razabrasion" presents a gentle, rapid, and well-controlled method for tangential dermal splitting to address perioral rhytides.
• Early results are encouraging, suggesting "razabrasion" as a promising technique for improving outcomes after rhytidectomy.