Background: Hair forms an important appendage of the body playing a significant role in an individual’s psychosocial personality. Hirsutism is the presence of terminal hair at androgen-dependent sites in a female. Hypertrichosis is excessive hair growth all over the body in a non-androgen dependent manner. Increased terminal facial hair growth leads to cosmetic embarrassment, psychological distress and a low self-esteem in women. Currently, the most effective and advanced procedure for unwanted hair removal is laser epilation. Diode laser (800-855nm) are the most frequently used for this purpose and can be used in two different modes FDP (Fast delivery pulse) and DP (delivery pulse). With this study we aim to compare the efficacy of these two modes of diode laser for facial hair reduction. Objectives: 1.To study the clinical presentation of unwanted facial hair in patients visiting the department. 2. To study the trichoscopic features of facial hair in patients. 3.To study the correlation between the endocrinal abnormalities and clinical presentation in patients with increased facial hair. 4. To study the effectiveness of two different modes of diode laser on facial hair. Methods: It is a prospective randomized control study with a total of 20 female patients in the age group of 18-50 years with complaints of unwanted facial hair. VIKINI Diode laser of wavelength 808nm will be used for treatment. Post randomization the participants will be divided into two groups, one of them will be treated with FDP (Fast delivery pulse) mode and the other with DP (delivery pulse) mode. A total of six sittings will be performed at an interval of 4 weeks. Baseline trichoscopy findings as well as trichoscopy at follow up visits at one, three and six months will be recorded. Post procedure patient satisfaction and pain assessment will be also be recorded. Expected Results: The result would be undertaken in SPSS software. This study will help in understanding which technique is superior for laser hair reduction for facial hair. Conclusion: The conclusion will be based on findings for study protocol.

Accessory mammary gland is an uncommon lesion, which occurs in 0.4%–6% of women. It is mostly located in the axilla of both sides, but when it presents unilateral large in size and sessile, it can cause difficulty in clinical diagnosis, which mimics lipoma or adipose tissue lesion, usually, it is bilateral and presents asymptomatic lump in the axilla during pregnancy and lactational period. Anxiety is the major cause of concern, as the general population are not aware of accessory breast. Histopathological diagnosis is very important as axillary mass or breast tissue may undergo changes like mastitis, fibrocystic disease, and rarely carcinoma. We present an axillary mass on the left side in 24-year-old female, which has been diagnosed with accessory mammary gland on fine-needle aspiration cytology study, which was mimicking sessile lipoma as a rare clinical presentation.