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The Use of Lasers and Light Devices in Acne Management: An Update
Monica K Li1,2, Chaocheng Liu3, Jeffrey T S Hsu4,5
1Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada. mkldermatology@gmail.com.
American Journal of Clinical Dermatology
|July 21, 2021
Summary
Laser and light therapies offer promising alternatives for acne vulgaris treatment, with neodymium:yttrium aluminum garnet (Nd:YAG) lasers showing strong evidence. Further research is needed to confirm the efficacy of other light-based devices for acne management.
Area of Science:
- Dermatology
- Medical Technology
Background:
- Acne vulgaris is a prevalent inflammatory skin condition with significant economic impact.
- Conventional acne treatments face limitations including long durations, side effects, and antibiotic resistance.
- Laser and light-based therapies have emerged as alternative and complementary options for acne management.
Purpose of the Study:
- To provide an updated overview of laser and light-based devices for acne management.
- To assess the safety and efficacy of these interventions.
- To guide clinicians in understanding current treatment options.
Main Methods:
- Review of existing literature on laser and light-based treatments for acne vulgaris.
- Analysis of study designs, device settings, treatment regimens, and outcome measures.
- Comparison of evidence supporting different laser and light modalities.
Main Results:
- Neodymium:yttrium aluminum garnet (Nd:YAG) lasers have the most supporting high-level studies for acne treatment.
- Photodynamic therapy demonstrates higher efficacy than some conventional acne therapies.
- Intense-pulsed light and blue light therapies show favorable outcomes, though evidence quality varies.
- Limited evidence supports CO2 lasers, potassium titanyl phosphate lasers, and 1565-nm non-ablative fractional lasers for acne.
Conclusions:
- Laser and light devices show promise for treating acne vulgaris.
- High-quality randomized controlled trials with larger sample sizes are necessary for definitive guidance.
- Further research is required to optimize treatment protocols and generalize findings for laser and light-based acne therapies.

