March 3, 2026Journal of Cosmetic and Laser Therapy2 citations

Lasers and ultrasound in Aesthetic medicine: a hybrid review of efficacy, safety, and future directions

ARAlexandre Rebelo-MarquesClinical Academic Center of Braga

Key Points

Efficacy and safety of laser and ultrasound therapies show significant promise, yet caution is warranted in specific applications.
Notable findings include varied satisfaction rates across different skin types, especially Fitzpatrick IV-VI, and BMI sub-groups.
Analysis integrates systematic retrieval from multiple databases with expert evaluation to consolidate current evidence.
Support for using AI-guided planning indicates potential future advancements in the precision of aesthetic interventions.

Abstract

Energy-based devices, especially lasers and ultrasound (HIFU/MFU-V), have transformed esthetic medicine, yet evidence remains scattered. This hybrid review couples systematic retrieval of quantitative studies with expert synthesis to define areas of strength and caution. Searches of MEDLINE, Embase, Scopus, and Cochrane captured RCTs, observational series, and meta-analyses on laser- and ultrasound-guided interventions. Efficacy, downtime, satisfaction, and complications were extracted and tabulated, focusing on Fitzpatrick IV-VI skin, BMI sub-groups, and emerging AI-guided planning.

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