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Farber et al. Plast Aesthet Res 2020;7:72 I http://dx.doi.org/10.20517/2347-9264.2020.152 Page 13 of 28

Figure 9. Skincare regimen, fractionated bipolar radiofrequency sublative skin resurfacing (eMatrix) and high-intensity focused
ultrasound (Ultherapy). 48 yo caucasian Fitzpartrick II, before (upper top, lower top) and after (upper bottom, lower bottom), a series
of three full-face fractionated bipolar radiofrequency sublative skin resurfacing treatments, a single full-face high-intensity focused
ultrasound treatment, 1 mL Hyaluronic acid filler to the nasolabial folds, and recurrent injections of neuromodulator to the glabella,
forehead, and crow’s feet. Marked improvement in skin texture, dyschromia, and fine rhytids are seen. Treatments occurred for a period
of 12-months

Outcomes and complications
Usually patients experience mild discomfort post-treatment. Full results should be expected after three to
six treatments performed at two- to four-week intervals. Results are variable and outcome and complication
[37]
data is not well published .
Microneedling
Mechanism
Ò
Ò
Microneedling (such as with Skinpen and Dermapen ) is performed by breaching the epidermis with
micron-sized needles to create an injury to the outermost layer of the skin. These micro-punctures are
[38]
touted as a means of injuring the skin and causing elastin and collagen production and deposition .