Arias Fernando, Gala Zachary, Stetz Laura, Elfanagely Omar, Greco Gregory
From the Department of Surgery, Rutgers Robert Wood Johnson Medical School.
Monmouth Plastic Surgery.
Plast Reconstr Surg. 2025 Jul 1;156(1):37e-46e. doi: 10.1097/PRS.0000000000011958. Epub 2025 Jan 14.
Laser resurfacing is a minimally invasive method for addressing facial or neck skin rejuvenation, which is neglected in modern surgical approaches. Despite its popularity, there is a paucity of outcome data. In this article, the authors present patient-reported outcomes to assess the effectiveness of a single surgeon's approach to skin rejuvenation.
Adult patients undergoing first-time facial laser resurfacing with broadband light and hybrid erbium:yttrium-aluminum-garnet/thulium laser or hybrid thulium fractional laser alone between March of 2023 and February of 2024, performed by the senior author (G.G.) and a laser specialist (L.S.), were analyzed prospectively. Data on patient demographics, laser technique and settings, prophylactic medication, and postprocedure management were collected. Patient-reported outcomes were assessed during early and late recovery periods using 10 FACE-Q surveys related to appearance, health-related quality of life, and adverse effects. A paired t test compared pretreatment and posttreatment responses.
A total of 71 patients (69 female, 2 male) were identified. Their mean age was 56 years (range, 40 to 78). Most patients (>50%) experienced tightness, swelling, tenderness, discomfort, and burning in the early recovery period, which dissipated over time. Postprocedure facial ( P < 0.001) and skin ( P < 0.001) appearance scores improved significantly; facial line scores improved, but not significantly ( P = 0.053). Overall, most patients were satisfied with the treatment outcome and their decision to undergo laser resurfacing.
Patients were highly satisfied with both the decision to undergo the procedure and the outcome, particularly in facial appearance and health-related quality of life. They experienced minimal adverse effects in the early recovery period that dissipated over time.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
激光换肤是一种用于面部或颈部皮肤年轻化的微创方法，在现代手术方法中未得到充分重视。尽管其很受欢迎，但关于治疗效果的数据却很少。在本文中，作者展示了患者报告的结果，以评估单一外科医生的皮肤年轻化治疗方法的有效性。
对2023年3月至2024年2月期间由资深作者（G.G.）和一名激光专家（L.S.）进行首次面部激光换肤治疗的成年患者进行前瞻性分析，治疗采用宽带光与掺铒钇铝石榴石/铥激光混合或单独使用铥分数激光。收集患者人口统计学数据、激光技术和参数设置、预防性用药以及术后管理等信息。在早期和晚期恢复阶段，使用10项与外貌、健康相关生活质量和不良反应相关的FACE-Q调查问卷评估患者报告的结果。采用配对t检验比较治疗前和治疗后的反应。
共纳入71例患者（69例女性，2例男性）。他们的平均年龄为56岁（范围40至78岁）。大多数患者（>50%）在早期恢复阶段出现紧绷、肿胀、压痛、不适和烧灼感，这些症状会随着时间逐渐消失。术后面部（P<0.001）和皮肤（P<0.001）外观评分显著改善；面部皱纹评分有所改善，但不显著（P=0.053）。总体而言，大多数患者对治疗结果以及接受激光换肤治疗的决定感到满意。
患者对接受该手术的决定和治疗结果都非常满意，尤其是在面部外观和健康相关生活质量方面。他们在早期恢复阶段经历的不良反应较少，且会随着时间消失。
临床问题/证据水平：治疗性研究，IV级。
