Evidence map›Paper›PMID 39434507›Full record

ReviewLasers in surgery and medicine2025

Expert Consensus on Clinical Recommendations for Fractional Ablative CO

Tal Levy, Ilana Lerman, Jill Waibel, Gerd G Gauglitz, Matteo T Clementoni, Daniel P Friedmann, Kevin Duplechain, Peter Peng, Davin Lim, Firas Al-Niaimi and 13 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Lasers in surgery and medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Safety and Tolerability of Fractional COJournal of cosmetic dermatology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Tal LevySackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0009-0001-1975-7084
Ilana LermanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jill WaibelMiami Dermatology & Laser Research Institute, Miami, Florida, USA.ORCID http://orcid.org/0000-0003-4876-5857
Gerd G GauglitzDepartment of Dermatology and Allergy, Ludwig Maximillian University, Munich, Germany.
Matteo T ClementoniLaserplast, Milan, Italy.ORCID https://orcid.org/0000-0003-3722-5054
Daniel P FriedmannWestlake Dermatology Clinical Research Center, Westlake Dermatology & Cosmetic Surgery, Austin, Texas, USA.
Kevin DuplechainCosmetic Surgery of Louisiana, Division of Facial Plastic Surgery Tulane University Medical Center, New Orleans, Louisiana, USA.
Peter PengP-Skin Professional Clinic, Kaohsiung, Taiwan.ORCID https://orcid.org/0000-0002-5381-7167
Davin LimCutis Dermatology, Brisbane, Australia.ORCID https://orcid.org/0009-0006-5946-1786
Firas Al-Niaimi152 Harley Street Clinic, London, UK.ORCID http://orcid.org/0000-0002-0684-4322
Shangli LinShangli Dermatologic & Aesthetic Clinic, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-4249-6852
Gilly MunavalliDermatology, Laser & Vein Specialists of the Carolinas, Charlotte, North Carolina, USA.ORCID https://orcid.org/0000-0002-5061-8314
Brian S BiesmanDepartment of Ophthalmology, Dermatology, and Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0001-9601-8851
Greg J GoodmanDepartment of General Practice, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-4089-9690
Alina FratilaJungbrunnen-Klinik Dr. Fratila GmbH, Bonn, Germany.
Thomas M BeachkofskyDepartment of Dermatology, James A. Haley Veterans Hospital, Tampa, Florida, USA.ORCID https://orcid.org/0000-0001-5996-3854
E Victor RossScripps Clinic, San Diego, California, USA.ORCID https://orcid.org/0000-0002-0923-3578
Asif HusseinDr. H. Consult, London, UK.
Arielle KauvarNew York Laser & Skin Care, New York, New York, USA.ORCID https://orcid.org/0000-0001-7594-1399
Suzanne L KilmerLaser & Skin Surgery Medical Group, Inc., Sacramento, California, USA.ORCID https://orcid.org/0000-0002-1202-9340
Robert LangdonLangdon Center for Laser and Cosmetic Surgery, Guilford, Connecticut, USA.
Ronald L MoyResearch Department, Moy-Fincher-Chipps Facial Plastics/Dermatology, Beverly Hills, California, USA.ORCID http://orcid.org/0000-0001-8916-7349
Ofir ArtziSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0003-1391-5843

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor three decades, fractional ablative CO

objectiveTo develop up-to-date clinical recommendations on safety measures, therapeutic framework, and techniques to improve treatment outcomes.

methodsUsing Google Forms, a questionnaire with 188 questions was given to a varied sample of 21 dermatologists and plastic surgeons from various countries and practice contexts. A second questionnaire with 11 items was created to resolve any gaps or discrepancies.

resultsActive face infections are considered a treatment contraindication by 95% of panelists. Burns, recent sun exposure, and pregnancy or breastfeeding were also considered contraindications (according to 67% of panelists). Over 90% employ bacterial and viral prophylaxis, however the majority (67%) do not prescribe antifungal prophylaxis. The most often stated anesthetic treatments by panelists are topical anesthetic cream, nerve blocks, and oral analgesics (according to 95%, 81%, and 62% of panelists respectively). Over 90% of panel members suggested treatment setting alterations for individuals with Fitzpatrick skin types III-IV. Following reepithelization, which happens between 8 and 42 days after the treatment, the majority (76%) of panelists advocate continuing standard skin care routines including active ingredients. Eighty-one percent of panelists recommend using supplementary treatment to maximize results. Supplementary treatment recommendations included use of neuromodulators (76% of panelists), Intense Pulsed Light Therapy treatments pre and postprocedure (61% of panelists), and injection-based therapies such as (Hyaluronic Acid fillers, and biostimulatory fillers) (recommended by 48% of panelists). 60% of panelists perform FACL to improve skin laxity treatment in nonfacial areas and adjust their settings accordingly. LIMITATIONS: Our results reflect only a modest panel size; with a focus on a specific device. Although experienced, the small number of panelists, recommendations, and personal adverse reactions encounters for resurfacing indication, might be biased.

conclusionFractional CO

Indexed as

Cosmetic TechniquesLasers, GasLaser TherapyRejuvenationSkin AgingConsensusFaceHumansSurveys and Questionnairesfractional ablative CO2 laserlaser treatmentpostcareprecareskin rejuvenationtreatment parameters

Identifiers

PMID39434507
PMCPMC11776446

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.