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Updates on Lasers in Dermatology
Ashaki D Patel1, Rishi Chopra1, Mathew Avram1
1Department of Dermatology, Massachusetts General Hospital Laser and Cosmetic Center, 50 Staniford Street, Suite 250, Boston, MA 02114, USA; Wellman Center for Photomedicine, Massachusetts General Hospital, 15 Parkman Street, Wang Ambulatory Care Center - Suite 435, Boston, MA 02114, USA.
Selective photothermolysis, introduced in 1983, transformed laser dermatology. This review details the evolution of laser applications, from birthmarks to acne treatment, highlighting ongoing advancements.
Area of Science:
- Dermatology
- Biomedical Optics
- Laser Physics
Background:
- Selective photothermolysis, pioneered in 1983, marked a paradigm shift in laser use.
- This principle enables targeted laser energy delivery for dermatological treatments.
Purpose of the Study:
- To review the historical evolution of laser applications in dermatology.
- To trace the development of selective photothermolysis and its expanding uses.
- To discuss future directions in dermatological laser technology.
Main Methods:
- Literature review of key publications and historical milestones in laser dermatology.
- Analysis of the progression of laser applications from early uses to current practices.
- Synthesis of information on the scientific principles underlying selective photothermolysis.
Main Results:
- The advent of selective photothermolysis revolutionized safe and effective laser treatments.
- Laser applications have expanded significantly since the initial use for vascular birthmarks.
- Current applications range from treating pigmented lesions and tattoos to addressing acne and skin rejuvenation.
Conclusions:
- Selective photothermolysis remains a cornerstone of modern dermatological laser therapy.
- Continuous innovation is expanding the scope and efficacy of laser treatments in dermatology.
- Future research will likely focus on novel laser wavelengths, delivery systems, and combination therapies.

