All patients gave informed consent. The principles of the 1975 Declaration of Helsinki were followed.
Evaluations were performed using photographs taken immediately before the procedure, approximately 1 week and 1 month postoperatively using a Canfield Mirror Suite software (Canfield Scientific, Incorporated, Fairfield, MJ) and a Nikon D-80 camera (Nikon, Konan, Minato-Ku, Tokyo, Japan). Photographs of the patients were reviewed by 3 blinded observers (2 dermatologists and 1 dermatology physician assistant), and improvement was graded on a scale of 1 to 4; 1 = 0% to 25%, 2 = 26% to 50%, 3 = 51% to 75%, and 4 = 76% to 100%.
Adverse effects were recorded at each follow-up visit.