Consensus Statement on the Prevention and Management of Complications of Fully Ablative Laser Resurfacing of the Face
Issued Date
2025-01-01
Resource Type
ISSN
01968092
eISSN
10969101
Scopus ID
2-s2.0-105007626833
Journal Title
Lasers in Surgery and Medicine
Rights Holder(s)
SCOPUS
Bibliographic Citation
Lasers in Surgery and Medicine (2025)
Suggested Citation
Kang B.Y., Cohen J.L., Geronemus R., Kilmer S.L., Ross E.V., Tanzi E.L., Waibel J.S., Wong B.J.F., Alam M., Alexiades M., Arndt K.A., Avram M., Bhatia A.C., Biesman B.S., Bloom J.D., Burns A.J., Chan H.H.L., DiGiorgio C.M., Dover J.S., Fathizadeh S., Esteves S.C., Gold M.H., Goldberg G.N., Haedersdal M., Hoss E., Ibrahimi O.A., Jalian H.R., Kelly K.M., Manuskiatti W., Marks L.A., Munavalli G.S., Pozner J.N., Robb C.W., Rossi A.M., Saedi N., Shumaker P.R., Stankiewicz K., Wanner M., Wu D.C., Wulkan A.J., Ortiz A. Consensus Statement on the Prevention and Management of Complications of Fully Ablative Laser Resurfacing of the Face. Lasers in Surgery and Medicine (2025). doi:10.1002/lsm.70035 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/110728
Title
Consensus Statement on the Prevention and Management of Complications of Fully Ablative Laser Resurfacing of the Face
Author(s)
Kang B.Y.
Cohen J.L.
Geronemus R.
Kilmer S.L.
Ross E.V.
Tanzi E.L.
Waibel J.S.
Wong B.J.F.
Alam M.
Alexiades M.
Arndt K.A.
Avram M.
Bhatia A.C.
Biesman B.S.
Bloom J.D.
Burns A.J.
Chan H.H.L.
DiGiorgio C.M.
Dover J.S.
Fathizadeh S.
Esteves S.C.
Gold M.H.
Goldberg G.N.
Haedersdal M.
Hoss E.
Ibrahimi O.A.
Jalian H.R.
Kelly K.M.
Manuskiatti W.
Marks L.A.
Munavalli G.S.
Pozner J.N.
Robb C.W.
Rossi A.M.
Saedi N.
Shumaker P.R.
Stankiewicz K.
Wanner M.
Wu D.C.
Wulkan A.J.
Ortiz A.
Cohen J.L.
Geronemus R.
Kilmer S.L.
Ross E.V.
Tanzi E.L.
Waibel J.S.
Wong B.J.F.
Alam M.
Alexiades M.
Arndt K.A.
Avram M.
Bhatia A.C.
Biesman B.S.
Bloom J.D.
Burns A.J.
Chan H.H.L.
DiGiorgio C.M.
Dover J.S.
Fathizadeh S.
Esteves S.C.
Gold M.H.
Goldberg G.N.
Haedersdal M.
Hoss E.
Ibrahimi O.A.
Jalian H.R.
Kelly K.M.
Manuskiatti W.
Marks L.A.
Munavalli G.S.
Pozner J.N.
Robb C.W.
Rossi A.M.
Saedi N.
Shumaker P.R.
Stankiewicz K.
Wanner M.
Wu D.C.
Wulkan A.J.
Ortiz A.
Author's Affiliation
Lahey Medical Center
Waterfront Skin and Laser
Rebecca Fitzgerald MD
Laser and Skin Surgery Center of New York
Dermatology Associates of Plymouth Meeting
Cosmetic Laser Dermatology
AboutSkin Dermatology and AboutSkin Research
The Dermatology House
Laser & Aesthetics
Tennessee Clinical Research Center
Skin and Allergy Center
Gold Skin Care Center
Inc
Dermatology and Laser Surgery Center
Resurrect Skin Md
Scripps Clinic
Connecticut Skin Institute
Creighton University School of Medicine
Miami Dermatology and Laser Institute
UC Irvine Beckman Laser Institute & Medical Clinic
Massachusetts General Hospital
Rush Medical College
Banner - University Medical Center Tucson
Oak Dermatology
University of California, San Diego
NYU Grossman School of Medicine
Cleveland Clinic Florida
University of Miami Leonard M. Miller School of Medicine
Mayo Clinic Scottsdale-Phoenix, Arizona
Northwestern University Feinberg School of Medicine
SkinCare Physicians
Yale School of Medicine
Vanderbilt University Medical Center
Det Sundhedsvidenskabelige Fakultet
VA San Diego Healthcare System
Memorial Sloan-Kettering Cancer Center
UCI School of Medicine
Siriraj Hospital
National and Kapodistrian University of Athens
The Warren Alpert Medical School
The George Washington University School of Medicine and Health Sciences
Lincoln Memorial University
Harvard Medical School
University of California, Irvine
University of Pennsylvania
UT Southwestern Medical Center
University of Illinois College of Medicine
Copenhagen University Hospital
Wake Forest University School of Medicine
The University of Hong Kong
Waterfront Skin and Laser
Rebecca Fitzgerald MD
Laser and Skin Surgery Center of New York
Dermatology Associates of Plymouth Meeting
Cosmetic Laser Dermatology
AboutSkin Dermatology and AboutSkin Research
The Dermatology House
Laser & Aesthetics
Tennessee Clinical Research Center
Skin and Allergy Center
Gold Skin Care Center
Inc
Dermatology and Laser Surgery Center
Resurrect Skin Md
Scripps Clinic
Connecticut Skin Institute
Creighton University School of Medicine
Miami Dermatology and Laser Institute
UC Irvine Beckman Laser Institute & Medical Clinic
Massachusetts General Hospital
Rush Medical College
Banner - University Medical Center Tucson
Oak Dermatology
University of California, San Diego
NYU Grossman School of Medicine
Cleveland Clinic Florida
University of Miami Leonard M. Miller School of Medicine
Mayo Clinic Scottsdale-Phoenix, Arizona
Northwestern University Feinberg School of Medicine
SkinCare Physicians
Yale School of Medicine
Vanderbilt University Medical Center
Det Sundhedsvidenskabelige Fakultet
VA San Diego Healthcare System
Memorial Sloan-Kettering Cancer Center
UCI School of Medicine
Siriraj Hospital
National and Kapodistrian University of Athens
The Warren Alpert Medical School
The George Washington University School of Medicine and Health Sciences
Lincoln Memorial University
Harvard Medical School
University of California, Irvine
University of Pennsylvania
UT Southwestern Medical Center
University of Illinois College of Medicine
Copenhagen University Hospital
Wake Forest University School of Medicine
The University of Hong Kong
Corresponding Author(s)
Other Contributor(s)
Abstract
Objectives: To achieve consensus among expert laser surgeons on standards for the prevention and management of adverse events from fully ablative laser resurfacing of the face. Materials and Methods: Delphi study with two rounds of ratings and revisions until consensus was achieved. The draft set of statements was developed by a steering committee based on expert clinical experience. This was followed by two rounds of rating and revisions completed by an expert panel, then a virtual consensus meeting. In both rounds, respondents rated the draft statements on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) and optionally provided comments. The consensus meeting was supplemented by the results of a systematic review of the literature (from 2000 to 2023). Results: Two rounds of Delphi survey were completed by 34 participants across four countries. Represented specialties were dermatology, facial plastic surgery, plastic surgery, and oculoplastic surgery. The initial 105 statements from round 1 expanded to 112 in round 2, with 96 statements achieving consensus. These included possible adverse events (11 statements); absolute and relative contraindications to treatment (5 statements); preoperative care and antimicrobial prophylaxis precautions (16 statements); intraoperative precautions (17 statements); postoperative care (21 statements); monitoring for and management of infection (16 statements); management of pigmentation changes (6 statements); and management of scarring and incipient scarring (4 statements). Conclusion: An international consensus statement was developed for the prevention and management of complications associated with fully ablative laser resurfacing of the face. While expert practices vary, key factors for optimizing outcomes include careful patient selection, counseling, and meticulous pre- and postoperative care. Further research will improve our understanding of this treatment technique.