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Practice Guideline
. 2025 Jan;24(1):e16712.
doi: 10.1111/jocd.16712.

Periprocedural Skincare for Nonenergy and Nonablative Energy-Based Aesthetic Procedures in Patients With Skin of Color

Andrew F Alexis  1 , Anneke Andriessen  2 , Renée A Beach  3 , Valeria Barreto Campos  4 , Lisa R Ginn  5 , Rodrigo Gutiérrez Bravo  6 , Levashni Naidoo  7 , Monica Li  8
Affiliations
Practice Guideline

Periprocedural Skincare for Nonenergy and Nonablative Energy-Based Aesthetic Procedures in Patients With Skin of Color

Andrew F Alexis et al. J Cosmet Dermatol. 2025 Jan.

Abstract

Background: Anti-aging facial procedures with nonenergy and nonablative energy devices are increasingly popular among patients with skin of color (SOC). Algorithms have addressed the measures to reduce the side effects related to aesthetic procedures, but few focus on SOC patients and periprocedural integrating skincare.

Methods: Eight dermatologists from Brazil, Canada, South Africa, Mexico, and the USA participated in a meeting and an online follow-up to develop an algorithm for periprocedural skincare for nonenergy and nonablative energy-based facial aesthetic procedures in patients with SOC. A Delphi method was used to develop this algorithm and integrate information from the literature with panels' clinical experience and opinion, resulting in the current algorithm.

Results: The algorithm has five sections, starting with a medical history and skin examination, followed by pretreatment measures beginning 2-4 weeks before the procedure, then measures on the day of the procedure, aftercare 1-7 days after the procedure, and follow-up care 1-4 weeks after the procedure and ongoing.

Conclusions: This algorithm provides guidelines for treatment optimization of non-energy, non-ablative energy-based devices for SOC patients. It also provides physicians with skincare recommendations pre-, peri-, and post-aesthetic procedures.

Keywords: Periprocedural; SOC; Skincare.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Structured literature search results. Algo, algorithm; CS, cross‐sectional studies; GL, guidelines; MA, meta‐analysis; RCT, randomized controlled trials; RS, retrospective studies; SR, systematic reviews. 1Excluded: Not including injectables, nonablative laser, periprocedural skincare, SOC patients. Due to a lack of clinical studies on periprocedural skincare in SOC patients, no grading was done.
FIGURE 2
FIGURE 2
Periprocedural skincare for nonenergy and nonablative procedures in patients with skin of color. HA, hyaluronic acid; NC, noncomedogenic; PIH, post‐inflammatory hyperpigmentation; SA, salicylic acid; TCS, topical corticosteroids.
See this image and copyright information in PMC

References

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