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Figure 3. Skincare regimen, pulsed-dye laser resurfacing [intense pulsed light (IPL)], high-intensity focused ultrasound (Ultherapy), and recurrent Botox injections to the glabella, forehead, and crow’s feet. 43 yo Caucasian Fitzpatrick II presented with effects of long-term sun damage including dyschromia, rhytids, and mild skin laxity. The patient was initiated on a skincare regimen consisting of topical retinoid, vitamin C, and hydroquinone for four weeks prior to undergoing two sessions of full-face and neck high-intensity focused ultrasound followed by three treatments of pulsed-laser phototherapy (IPL), and recurrent neuromodulator injections to the glabella, forehead, and crow’s feet at 3-4 month intervals. Total treatment time was approximately 19 months