Goodman Greg, Yip Leona, McDonald Cara, Lin Frank, Liu Wenyuan, Sullivan John
Aesthet Surg J Open Forum. 2025 May 9;7:ojaf039. doi: 10.1093/asjof/ojaf039. eCollection 2025.
The use of energy-based device (EBD) aesthetic skin treatments is increasing in popularity. Implementation of periprocedural skincare may improve treatment-related outcomes, reduce recovery time, and reduce the frequency and severity of potential side effects. This review presents treatment recommendations to assist clinicians in optimizing integrated skincare to enhance EBD treatment outcomes. A panel of Australian 6 physicians (5 dermatologists, 1 plastic surgeon) developed 4 generalized EBD periprocedural skincare recommendations. These recommendations were divided based on 4 levels of skin barrier disruption caused by EBD treatment: none (or minimal), mild, moderate, and severe barrier disruption. The greater the disruption caused to the skin barrier, the greater care needed in choosing appropriate skincare products with suitable actives. Preprocedural skincare incorporating moisturizers, broad-spectrum sun-protection factor 50+ sunscreen, antioxidants, and niacinamide should be implemented at least 2 weeks before treatment to enhance skin barrier function and hydration. Postprocedure recommendations are made for the use of appropriate skincare actives that promote barrier repair and avoid further irritation. Prescription actives should be avoided for an appropriate period following EBD procedures; this period is dependent on the EBD treatment type and degree of skin barrier disruption it can cause. The algorithms provided here are aimed to assist clinicians in optimizing integrated skincare recommendations to enhance EBD treatment outcomes, promote healing, and reduce the likelihood of adverse events. Skincare recommendations made to patients should be based on the condition of the patient's skin, as well as the magnitude of skin barrier disruption caused by the EBD procedure.
基于能量的设备（EBD）用于美容皮肤治疗的情况日益普遍。围手术期皮肤护理的实施可能会改善与治疗相关的结果，减少恢复时间，并降低潜在副作用的发生频率和严重程度。本综述提出了治疗建议，以帮助临床医生优化综合皮肤护理，提高EBD治疗效果。一个由6名澳大利亚医生（5名皮肤科医生、1名整形外科医生）组成的小组制定了4条通用的EBD围手术期皮肤护理建议。这些建议根据EBD治疗对皮肤屏障造成的4种破坏程度进行划分：无（或最小）、轻度、中度和重度屏障破坏。对皮肤屏障造成的破坏越大，在选择含有合适活性成分的合适护肤品时就需要越谨慎。术前皮肤护理应在治疗前至少2周实施，包括使用保湿剂、广谱防晒系数50+的防晒霜、抗氧化剂和烟酰胺，以增强皮肤屏障功能和保湿。术后建议使用促进屏障修复且避免进一步刺激的合适皮肤护理活性成分。EBD手术后应在适当的时间段内避免使用处方活性成分；这个时间段取决于EBD治疗类型及其可能导致的皮肤屏障破坏程度。此处提供的算法旨在帮助临床医生优化综合皮肤护理建议，以提高EBD治疗效果、促进愈合并降低不良事件的发生可能性。向患者提供的皮肤护理建议应基于患者的皮肤状况以及EBD手术对皮肤屏障造成的破坏程度。
