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National Delphi consensus on laser and energy-based treatments for rosacea
Lynhda Nguyen1, Nikolaus Seeber2, Uwe Paasch3
1Department of Laser and Aesthetic, Department of Dermatology and Venereology, University Medical-Center Hamburg-Eppendorf, Hamburg, Germany.
Summary
This study establishes expert consensus on using lasers and energy-based devices (EBDs) for rosacea treatment in Germany. It provides guidance on integrating these therapies and best practices for patient care.
Area of Science:
- Dermatology
- Medical Devices
Background:
- Rosacea treatments include lasers and energy-based devices (EBDs).
- The role of lasers/EBDs in German rosacea management requires definition.
- Expert consensus is needed for optimal laser/EBD use in rosacea.
Purpose of the Study:
- To develop expert consensus on laser and EBD use for rosacea in Germany.
- To define the role of lasers/EBDs in various rosacea phenotypes.
- To guide the integration of laser/EBD therapies into rosacea treatment.
Main Methods:
- Systematic literature review and meta-analysis.
- Multicenter online patient survey (185 participants).
- Three-round Delphi process with 16 dermatologists.
Main Results:
- Consensus reached on laser/EBD roles across rosacea phenotypes.
- Guidelines developed for integrating laser/EBDs with combination therapies.
- Best practices for pre- and post-treatment care established.
Conclusions:
- Provides practical guidance for incorporating laser/EBD therapies in rosacea.
- Clarifies the role of lasers/EBDs in rosacea management.
- Identifies directions for future research in laser/EBD treatments for rosacea.

