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50 ± 23.98 to 45.68 ± 18.57 (a 32% improvement), and the change was significant (P = .00. The average score for overall improvement was 3.48. The average scores for color, distortion, and texture were 3.07 ± 0.62, 3.27 ± 0.50, and 3.52 ± 0.51, respectively. Mean pain degree score was 4.27 ± 1.04, and mean erythema duration was 28.43 ± 6.58 days. Some patients developed pigmentation for a few months that resolved with topical treatment. CONCLUSION Manual fractional thermal contraction technology has definite clinical efficacy in the treatment of at