Figure 1.

(A) This 52-year-old woman presented with facial laxity and received Profound radiofrequency (RF) rejuvenation of the entire facial skin, including the forehead, neck, and the periocular, perioral, and mandibular regions. She also underwent intramuscular RF treatment of the orbicularis oris, which involved 75 insertions into the upper lip and 65 insertions into the lower lip. (B) The patient is depicted intraoperatively, after infiltration of local anesthesia and treatment of the upper and lower lips on the right side of the face. Note the lifted skin and upper-lip eversion on the right side, compared with the untreated left side. Local anesthetic was injected bilaterally, so the only difference is the energy delivered unilaterally to the orbicularis oris. (C) Five months postoperatively, there is aesthetic improvement in the perioral region, including eversion of the lateral oral mucosa of the upper and lower lip, shortening of the lateral upper lip, enhanced definition of the white roll of the upper and lower lip (including the cupid’s bow), and fewer vermilion rhytids (where there is no dermis to rejuvenate).