エンドレーザー誘発性皮膚壊死：症例報告

Endolaser techniques emerged in the early 2000s to deliver controlled subdermal photothermal stimulation for collagen remodeling, skin tightening, and facial rejuvenation. Today, endolaser is a minimally invasive option within the spectrum of energy-based therapies aimed at mitigating the inevitable manifestations of aging. By transmitting calibrated laser energy through fine optical fibers into the subdermal plane, the technique promotes neocollagenesis and selective lipolysis while preserving the epidermal surface. Despite a generally favorable safety profile, the nature of the emitted energy may rarely precipitate severe adverse events. Among these, thermal necrosis is particularly distressing due to the depth and extent of dermal injury, often culminating in fibrosis and dyschromia; standard wound care alone is frequently insufficient to restore structural integrity and chromatic balance. We report a case of thermal necrosis after aesthetic endolaser that was successfully managed with a multimodal regenerative approach.