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April 15, 2026Lasers in Medical ScienceOpen Access

Facial laser complications (A Five Year Review)

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Authors

IZIris ZhorovRutgers Sexual and Reproductive Health and RightsMGMelissa GoldsteinFairchild Semiconductor (United States)AHArmela HasaSummit School

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Overview

Systematic review examines complications of facial laser treatments in diverse skin types, indicating significant risks.

Key Points

  • To analyze the complications associated with facial laser treatments over five years, focusing on different skin types.
  • Conducted a systematic review following PRISMA 2020 guidelines.
  • Searched PubMed, Embase, and Scopus for studies published between January 2019 and September 2025.
  • Included peer-reviewed clinical studies, systematic reviews, and meta-analyses while excluding animal studies and editorial pieces.
  • Screened titles and abstracts, then performed full-text review to finalize inclusion of 13 studies involving 2,010 cases.
  • Summarized adverse events descriptively based on laser modality and skin phototype.
  • Post-inflammatory hyperpigmentation (PIH) was the most common complication, especially in Fitzpatrick IV–VI skin types.
  • Ablative lasers showed higher risks for scarring and infection compared to non-ablative lasers.
  • Ocular complications were serious but less frequent, necessitating proper eye protection during procedures.
  • Fractional and hybrid laser technologies provided better recovery profiles but still posed risks of PIH and erythema.
  • Analysis of FDA MAUDE data confirmed safety concerns, particularly with ablative devices.

Cite This Study

Zhorov et al. (2026) studied this question.

synapsesocial.com/papers/69df2a4be4eeef8a2a6af8d6https://doi.org/10.1007/s10103-026-04862-z
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