Fitzpatrick et al reported a classification for perioral and periorbital facial wrinkling. This can help to guide cosmetic interventions. The authors are from Dermatology Associates of San Diego County, Inc.
Patient selection: perioral and periorbital wrinkling
Parameter:
(1) degree of elastosis, graded from 0 to 9
(2) depth of wrinkles
(3) number of lines
(4) redundant skin folds
Skin Texture
Papular Elastosis
Dyschromasia
Class
smooth
none
none
0
fine changes
none
none
1 to 3 (mild)
wrinkled
individual papules
present
4 to 6 (moderate
wrinkled
multi-papular and confluent
yellow and pallid
7 to 9 (severe)
Elastosis
Depth
Number
Folds
Class
0
none
none
none
0
1 to 3
fine
few
none
I
4 to 6
fine to moderate
moderate
none
II
7 to 9
fine to deep
numerous
may be present
III
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