Subdermal monopolar radiofrequency (RF) redefines jawline by delivering controlled thermal energy that induced soft tissue contraction. However, the type of candidates best suited for this treatment has not been determined. A retrospective analysis of the treatment results and satisfaction, at 6 weeks and 3 months, in 15 female patients, aged 34 to 77 years, with mild to moderate skin laxity (Submental Skin Laxity Grading [SMSLG], 1-3) and submental fat (SMF) (Clinician rating-SMF-Rating Scale [CR-SMF-RS], 1-3), and a Subject Self Rating Scale (SSRS) ≤2. They received ThermiRF to either jowl and neck or neck only, in a single clinic, between the period of October 2017 to July 2018. The probe treatment temperature was set and maintained between 52°C to 65°C whereas the epidermal temperature was targeted around 42°C to 43°C. All patients with SMSLG 2 to 3, reported at least 1 grade SMSLG response with a mean change of 1.23 of CR-SMF-RS and mean change of 3.08 of SSRS. None of the patients experienced a burn or erythema following treatment. Transient swelling, nodule and mild numbness following ThermiRF procedure has been reported but all resolved completely with time. All reported GAIS ≥3 and 46.7% reported a Global Aesthetic Improvement Scale (GAIS) score of 5, i.e. optimal results by 3 months. Therefore, according to treatment results those with good to at least moderate skin laxity (SMSLG, 2-3), mild to moderate SMF (CR-SMF, 1-3) and absent of platysmal pathology reported at least a one-grade improvement on SMSLG and CR-SMF-RS within 3 months of ThermiRF treatment.

Background: Overlooked compensatory brow ptosis can lead to patients dissatisfaction and poor surgical results. Objective: To evaluate the quantitative changes in periorbital dimensions in 11 patients with mild to moderate brow ptosis after browlift with Poly(Lactic Acid/Caprolactone) (P[LA/CL]) sutures.Method: Retrospective analysis and data collected from reviewing clinical records, 11 patients, with mild to moderate brow ptosis, whom only has P(LA/CL) browlift, fulfilled the criteria and included in the analysis. All patients had 2-dimensional clinical photos and 3-dimensional clinical pictures in 5 standard views at baseline and follow-up. All periorbital measurements determined by the computer and collected for analysis.Results: There was a significant difference in all periorbital measurements at 4 to 6 months' follow-up when compared with baseline (p<0.05). Moderate lifting refers to changes in brow height of at least 2 mm at follow-up. A higher proportion of patients with moderate brow lift were able to achieve moderate lifting compared with mild brow ptosis. Moderate lifting is observed in 30% to 60% medial brow and 45% to 60% lateral brow for patients with moderate brow ptosis compared with 25% in those with mild brow ptosis. Infection, significant bruising, or scarring did not occur. Transient side effects, such as bruising and dimpling, eventually resolved. Conclusion:Preoperative examination is vital to identify pre-existing compensatory brow ptosis. P(LA/CL) thread-lifting for brow augmentation is a simple and effective procedure which can be used as an adjunct to upper eyelid surgery to prevent secondary brow ptosis following eyelid surgery and in turn, improve patients' satisfaction.

Acne fulminans is a severe form of acne that has a considerable psychosocial impact. Acne scarring is a potential complication of this condition. The treatment of acne fulminans includes conventional topical antibiotics, systemic antibiotics, hormonal therapy, isotretinoin, and light therapy. Intense pulsed light can have marked effects on acne fulminans. We aimed to describe the treatment of acne fulminans with intense pulsed light. This article is a case report together with a literature review to demonstrate how intense pulsed light can be used to treat acne fulminans. Pre-treatment and post-treatment clinical photographs are provided to show the effects of intense pulsed light therapy on acne fulminans. No comparisons were made with the other treatment modalities; nevertheless, this study provides an alternative treatment option for acne fulminans. Our case report revealed that intense pulse light using multiple filters at certain energy levels can effectively treat acne fulminans. Current evidence suggests that ablative CO 2 and Er:YAG lasers provide the best curative effect on acne scars on all skin types. Potential complications with intense pulsed light include pain, burns, and post-inflammatory hyperpigmentation. Intense pulsed light is an effective treatment modality for acne fulminans. However, more cases of acne fulminans treated with intense pulsed light need to be documented in order to affirm intense pulsed light as one of the best options for treating this severe form of acne.

Photoaging is a process of normal skin architecture damage caused by ultraviolet radiation. Topical vitamins have been used to treat these conditions. The authors aimed to understand the mechanism and level of evidence of topical vitamins used to treat photodamaged skin. A range of topical vitamins has been used in cosmetic medicine for many years to treat photodamaged skin. This review article compares their efficacy and level of evidence. This study was a systematic review to evaluate the efficacy of different topical vitamins. Keywords including "Photoaging," "Botanicals," "Peptides," "Retinoids," "Vitamins" were searched on Ovid, PubMed, MEDLINE for relevant studies published on photoaging treatment. There is a wealth of Level I evidence supporting the use of topical retinoic acid, vitamins B and C. There is evidence supporting the use of topical vitamin E although it is mainly drawn from Level IV studies of the evidence hierarchy. Topical vitamins can effectively treat photodamaged skin.

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