Scientific evidence on the impact of endolaser in aesthetics: scoping review

The objective of this study was to comprehensively analyze the literature related to the use of endolaser in aesthetic procedures, with the aim of mapping and synthesizing the available evidence. We used the JBI methodology for scoping reviews, conducting direct searches in the PUBMED, Scielo, and Cochrane databases. Due to the limited number of publications in this area, studies with various designs were included, with no restrictions on database, year, or language of publication. The search strategy incorporated the use of Boolean operators to refine the results, employing "AND," "OR," and "NOT" with descriptors such as "endolaser," "endolift," "esthetics," and "treatment." The search was conducted between November 2023 and April 2024. Study selection followed an initial screening with predefined inclusion and exclusion criteria. The data synthesis provided a comprehensive overview of current trends and gaps identified in the literature. Two independent reviewers analyzed the included studies, totaling 26 publications categorized as follows: randomized controlled trial (1), case series (23), case study (1), and pilot study (1). The results highlighted considerable variability in treatment protocols. Positive effects observed included localized fat reduction, skin rejuvenation, and reduction in the appearance of acne scars, keloids, and progressive lipodystrophy. The findings underscore the need for additional research to establish standardized protocols, better understand the underlying mechanisms, and evaluate the long-term sustainability of results. This gap in the literature presents an opportunity for further in-depth investigations in the field of endolaser aesthetics.