Periprocedural Skincare for Nonenergy and Nonablative Energy-Based Aesthetic Procedures in Patients With Skin of Color

Overview

Journal J Cosmet Dermatol

Date 2025 Jan 20

PMID 39829119

Authors

Andrew F Alexis

Anneke Andriessen

Renee A Beach

Valeria Barreto Campos

Lisa R Ginn

Rodrigo Gutierrez Bravo

Levashni Naidoo

Monica Li

Affiliations

Soon will be listed here.

Abstract

Background: Anti-aging facial procedures with nonenergy and nonablative energy devices are increasingly popular among patients with skin of color (SOC). Algorithms have addressed the measures to reduce the side effects related to aesthetic procedures, but few focus on SOC patients and periprocedural integrating skincare.

Methods: Eight dermatologists from Brazil, Canada, South Africa, Mexico, and the USA participated in a meeting and an online follow-up to develop an algorithm for periprocedural skincare for nonenergy and nonablative energy-based facial aesthetic procedures in patients with SOC. A Delphi method was used to develop this algorithm and integrate information from the literature with panels' clinical experience and opinion, resulting in the current algorithm.

Results: The algorithm has five sections, starting with a medical history and skin examination, followed by pretreatment measures beginning 2-4 weeks before the procedure, then measures on the day of the procedure, aftercare 1-7 days after the procedure, and follow-up care 1-4 weeks after the procedure and ongoing.

Conclusions: This algorithm provides guidelines for treatment optimization of non-energy, non-ablative energy-based devices for SOC patients. It also provides physicians with skincare recommendations pre-, peri-, and post-aesthetic procedures.

References

Lain E, F Alexis A, Andriessen A, Campos V, Haus A, Kim J . A Practical Algorithm for Integrating Skincare to Improve Patient Outcomes and Satisfaction With Energy-Based Dermatologic Procedures. J Drugs Dermatol. 2024; 23(5):353-359. DOI: 10.36849/JDD.8092. View

Schlessinger J, Kenkel J, Werschler P . Further enhancement of facial appearance with a hydroquinone skin care system plus tretinoin in patients previously treated with botulinum toxin Type A. Aesthet Surg J. 2011; 31(5):529-39. DOI: 10.1177/1090820X11411579. View

Kim J, Kim J, Lee Y, Almurayshid A, Jung J, Lee J . Effect of a topical antioxidant serum containing vitamin C, vitamin E, and ferulic acid after Q-switched 1064-nm Nd:YAG laser for treatment of environment-induced skin pigmentation. J Cosmet Dermatol. 2020; 19(10):2576-2582. DOI: 10.1111/jocd.13323. View

Alster T, Tanzi E . Laser surgery in dark skin. Skinmed. 2003; 2(2):80-5. DOI: 10.1111/j.1540-9740.2003.01664.x. View

Manuskiatti W, Triwongwaranat D, Varothai S, Eimpunth S, Wanitphakdeedecha R . Efficacy and safety of a carbon-dioxide ablative fractional resurfacing device for treatment of atrophic acne scars in Asians. J Am Acad Dermatol. 2010; 63(2):274-83. DOI: 10.1016/j.jaad.2009.08.051. View

Ware O, Dawson J, Shinohara M, Taylor S . Racial limitations of fitzpatrick skin type. Cutis. 2020; 105(2):77-80. View

Eimpunth S, Wanitphadeedecha R, Manuskiatti W . A focused review on acne-induced and aesthetic procedure-related postinflammatory hyperpigmentation in Asians. J Eur Acad Dermatol Venereol. 2012; 27 Suppl 1:7-18. DOI: 10.1111/jdv.12050. View

Alexis A . Lasers and light-based therapies in ethnic skin: treatment options and recommendations for Fitzpatrick skin types V and VI. Br J Dermatol. 2013; 169 Suppl 3:91-7. DOI: 10.1111/bjd.12526. View

Park S, Park J, Seo S, Park K . Evaluating the tolerance and efficacy of laser-assisted delivery of tranexamic acid, niacinamide, and kojic acid for melasma: A single center, prospective, split-face trial. Dermatol Ther. 2021; 35(3):e15287. DOI: 10.1111/dth.15287. View

10.

Hollinger J, Angra K, Halder R . Are Natural Ingredients Effective in the Management of Hyperpigmentation? A Systematic Review. J Clin Aesthet Dermatol. 2018; 11(2):28-37. PMC: 5843359. View

11.

Gold M, Andriessen A, Cohen J, Goldberg D, Grover K, Hu S . Pre-/postprocedure measures for laser/energy treatments: A survey. J Cosmet Dermatol. 2019; 19(2):289-295. DOI: 10.1111/jocd.13259. View

12.

Lee D, Oh I, Koo K, Suk J, Jung S, Park J . Reduction in facial hyperpigmentation after treatment with a combination of topical niacinamide and tranexamic acid: a randomized, double-blind, vehicle-controlled trial. Skin Res Technol. 2013; 20(2):208-12. DOI: 10.1111/srt.12107. View

13.

Lyons A, Trullas C, Kohli I, Hamzavi I, Lim H . Photoprotection beyond ultraviolet radiation: A review of tinted sunscreens. J Am Acad Dermatol. 2020; 84(5):1393-1397. DOI: 10.1016/j.jaad.2020.04.079. View

14.

Woolery-Lloyd H, Viera M, Valins W . Laser therapy in black skin. Facial Plast Surg Clin North Am. 2011; 19(2):405-16. DOI: 10.1016/j.fsc.2011.05.007. View

15.

Quinonez R, Agbai O, Burgess C, Taylor S . An update on cosmetic procedures in people of color. Part 1: Scientific background, assessment, preprocedure preparation. J Am Acad Dermatol. 2022; 86(4):715-725. DOI: 10.1016/j.jaad.2021.07.081. View

16.

Tremaine A, Avram M . FDA MAUDE data on complications with lasers, light sources, and energy-based devices. Lasers Surg Med. 2015; 47(2):133-40. DOI: 10.1002/lsm.22328. View

17.

Lain E, Andriessen A, Campos V, Fabi S, Ginn L, Haus A . A Practical Algorithm Integrating Skin Care With Nonenergy and Injectable Dermatologic Procedures to Improve Patient Outcomes and Satisfaction. J Drugs Dermatol. 2024; 23(4):227-232. DOI: 10.36849/JDD.7918. View

18.

Kaushik S, F Alexis A . Nonablative Fractional Laser Resurfacing in Skin of Color: Evidence-based Review. J Clin Aesthet Dermatol. 2017; 10(6):51-67. PMC: 5605208. View

19.

Chan N, Ho S, Yeung C, Shek S, Chan H . Fractional ablative carbon dioxide laser resurfacing for skin rejuvenation and acne scars in Asians. Lasers Surg Med. 2010; 42(9):615-23. DOI: 10.1002/lsm.20974. View

20.

Song H, Beckles A, Salian P, Porter M . Sunscreen recommendations for patients with skin of color in the popular press and in the dermatology clinic. Int J Womens Dermatol. 2021; 7(2):165-170. PMC: 8072489. DOI: 10.1016/j.ijwd.2020.10.008. View