Recommendations on Periprocedural Skincare for Energy-Based Dermatologic Procedures

The use of energy-based device (EBD) aesthetic skin treatments is increasing in popularity. Implementation of periprocedural skincare may improve treatment-related outcomes, reduce recovery time, and reduce the frequency and severity of potential side effects. This review presents treatment recommendations to assist clinicians in optimizing integrated skincare to enhance EBD treatment outcomes. A panel of Australian 6 physicians (5 dermatologists, 1 plastic surgeon) developed 4 generalized EBD periprocedural skincare recommendations. These recommendations were divided based on 4 levels of skin barrier disruption caused by EBD treatment: none (or minimal), mild, moderate, and severe barrier disruption. The greater the disruption caused to the skin barrier, the greater care needed in choosing appropriate skincare products with suitable actives. Preprocedural skincare incorporating moisturizers, broad-spectrum sun-protection factor 50+ sunscreen, antioxidants, and niacinamide should be implemented at least 2 weeks before treatment to enhance skin barrier function and hydration. Postprocedure recommendations are made for the use of appropriate skincare actives that promote barrier repair and avoid further irritation. Prescription actives should be avoided for an appropriate period following EBD procedures; this period is dependent on the EBD treatment type and degree of skin barrier disruption it can cause. The algorithms provided here are aimed to assist clinicians in optimizing integrated skincare recommendations to enhance EBD treatment outcomes, promote healing, and reduce the likelihood of adverse events. Skincare recommendations made to patients should be based on the condition of the patient's skin, as well as the magnitude of skin barrier disruption caused by the EBD procedure.