Extract

We thank Dr Swanson for his comments1 on our study assessing the safety and efficacy of a combination treatment using fractional radiofrequency and a thermo-contraction system for facial skin rejuvenation.2 He has noted the strengths of our study, and has also raised some questions and doubts, to which we respond below.

He stated that we have not used standardized photographs in Figure 3 of the article. This figure presents an image taken with the VisioFace Quick system (Courage & Khazaka electronic GmbH, Cologne, Germany), and the green specks show the measurement of the right nasolabial fold using CSI software, an approach that is well established and has been used successfully in a variety of studies.3,4 Therefore the measurement of the wrinkle area was not manual, but had been performed automatically by the software on original images, and is independent of the size of the photographs presented in the paper. We had at proof stage asked the journal to publish the photographs in the same size, and hope this will be corrected in the final print version of the paper.

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