J Drugs Dermatol. 2024 May 1;23(5):353-359. doi: 10.36849/JDD.8092.
Medical aesthetic procedures for facial antiaging with laser and energy-based devices (EBDs) are rapidly increasing, but standards integrating skincare before, during, and after these treatments are lacking. The algorithm for integrated skin care for facial antiaging treatment with EBDs aims to stimulate healing, reduce downtime, and improve comfort and treatment outcomes.
A panel of 8 global physicians employed a modified Delphi method and reached a consensus on the algorithm integrating skincare based on the best available evidence, the panel's clinical experience, and opinions.
The algorithm has a pretreatment (starts 2 - 4 weeks before the procedure) and treatment (day of treatment) section, followed by care after the procedure (0 - 7 days) and follow-up care (1 - 4 weeks after the procedure or ongoing). Applying a broad-spectrum sunscreen with an SPF 50 or higher, combined with protective measures such as wearing a wide-brimmed hat and sunglasses, is recommended to protect the face from sun exposure. Dyschromia is a significant concern for those with skin of color (SOC). Clinicians may recommend skincare using a gentle cleanser and moisturizer containing vitamins C and E, retinoid, or other ingredients such as niacinamide, kojic acid, licorice root extract, azelaic acid, and tranexamic acid, depending on the patient's facial skin condition.
Medical aesthetic procedures for facial antiaging with EBDs integrating skincare or topical treatments may improve outcomes and patient satisfaction. Topical antioxidants and free radical quenchers can combat photodamage and may offer a safe alternative to topical hydroquinone. J Drugs Dermatol. 2024;23(5):353-359. doi:10.36849/JDD.8092.
采用激光和能量设备（EBD）进行面部抗衰老的医美程序正在迅速增加，但在这些治疗前后整合皮肤护理的标准却缺乏。EBD 面部抗衰老治疗的综合皮肤护理算法旨在促进愈合、减少停机时间、提高舒适度和治疗效果。
一个由 8 名全球医生组成的小组采用改良 Delphi 方法，根据最佳现有证据、小组的临床经验和意见，就综合皮肤护理算法达成了共识。
该算法有预处理（治疗前 2-4 周开始）和治疗（治疗当天）部分，然后是治疗后护理（治疗后 0-7 天）和随访护理（治疗后 1-4 周或持续进行）。建议使用广谱防晒霜，SPF 为 50 或更高，并结合戴宽边帽和太阳镜等防护措施，以保护面部免受阳光照射。色素沉着不均是有色人种（SOC）的一个重要关注点。根据患者面部皮肤状况，临床医生可能会推荐使用温和清洁剂和含有维生素 C 和 E、视黄醇或烟酰胺、曲酸、甘草根提取物、壬二酸和氨甲环酸等其他成分的保湿剂进行皮肤护理。
采用 EBD 进行面部抗衰老的医美程序与皮肤护理或局部治疗相结合，可能会改善治疗效果和患者满意度。局部抗氧化剂和自由基清除剂可以对抗光损伤，并且可能是局部对苯二酚的安全替代方法。皮肤病药物杂志。2024；23(5):353-359。doi:10.36849/JDD.8092.
