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Laser Surgery in Pediatric Skin of Color Patients: A Systematic Review

Shaliz Aflatooni1, Nicholas Chin1, Amberlyn Colina1

  • 1University of South Florida, Morsani College of Medicine, Tampa, Florida, USA.

Pediatric Dermatology
|April 29, 2025
PubMed

Insights

Laser surgery is a safe and effective treatment for pediatric patients with skin of color (Fitzpatrick skin types IV-VI). Early intervention offers better outcomes, but careful consideration of laser parameters is crucial for optimal results.

Area of Science:

  • Dermatology
  • Laser Surgery
  • Pediatric Medicine

Background:

  • Treating dermatologic conditions in pediatric patients with skin of color presents unique challenges due to melanin's effect on laser energy absorption.
  • Higher melanin content in darker skin types (Fitzpatrick skin types IV-VI) can reduce laser effectiveness and increase adverse event risks.

Purpose of the Study:

  • To systematically review the efficacy and safety of laser treatments for dermatologic conditions in pediatric patients with Fitzpatrick skin types IV-VI.
  • To analyze laser parameters, treatment outcomes, and potential side effects in this specific patient population.

Main Methods:

  • Systematic review of 23 studies involving 164 pediatric patients (1 month to 17 years) with Fitzpatrick skin types IV-VI.
  • Inclusion criteria involved various study designs assessing laser treatment for dermatologic conditions.

Main Results:

  • Laser surgery is demonstrated as an excellent treatment option for various dermatologic conditions in children with Fitzpatrick skin types IV-VI.
  • Early laser treatment in children with skin of color can lead to improved clearance and better clinical results.
  • Successful outcomes necessitate careful selection of laser parameters tailored to the individual patient and desired clinical results.

Conclusions:

  • Pediatric patients with skin of color should not be excluded from laser surgery.
  • Laser surgery in this population is safe and effective when appropriate parameters are used.
  • Further research into optimized laser parameters for diverse skin tones in pediatric populations is warranted.

Keywords:
lasersnevus of Otapediatric dermatologypigmented lesionport‐wine birthmarkpulsed dye laservascular lesion

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