What is your preferred treatment for actinic cheilitis?

PDT is effective as well as an ablative laser for long-term control. Efudex or imiquimod for multiple weeks is good for localized or milder disease. Consider getting a biopsy if you’re concerned for invasive SCC. Encourage them to use sunscreen too.

Full-field erbium resurfacing. Usually one treatment session. The endpoint of pinpoint bleeding is very clear. Takes about 7-9 days to re-epithelialize. (Versus topical therapy has its limitations, including prolonged application of often weeks, concern over absorption… with 5-FU and rare DPD defici...