Evidence map›Paper›PMID 42121331›Full record

SynthesisJournal of cosmetic dermatology2026

Efficacy and Safety of Fractional Laser Therapy for Androgenetic Alopecia: A Systematic Review and Meta-Analysis.

Cheng Chen, Shuangshuang Wang, Dezhao Bi, Ang Ching Wei, Shun Guo

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Cheng ChenAffiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Shuangshuang WangNanjing University of Chinese Medicine, Nanjing, China.
Dezhao BiAffiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.ORCID https://orcid.org/0009-0007-3166-1118
Ang Ching WeiNanjing University of Chinese Medicine, Nanjing, China.
Shun GuoAffiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.ORCID https://orcid.org/0009-0001-1954-5639

Funding

Jiangsu Pharmaceutical Association - Jin Peiying Foundation Project J2024020National Natural Science Foundation of China 81603626
6 · The paper itself

Abstract

objectiveTo systematically evaluate the efficacy and safety of fractional laser therapy in the treatment of androgenetic alopecia.

methodsA comprehensive literature search was conducted in PubMed, Web of Science, Embase, the Cochrane Library, and China National Knowledge Infrastructure (CNKI) from inception to November 2025. Eligible studies were selected according to the PICOS framework. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool. Meta-analysis was performed using R software.

resultsA total of 15 studies involving 1097 patients were included. Meta-analysis demonstrated that fractional laser therapy significantly improved hair density compared with control interventions (mean difference [MD] = 13.88, 95% confidence interval [CI]: 6.87-20.90, p < 0.001). Subgroup analysis revealed no significant difference in efficacy between ablative and non-ablative fractional lasers (p = 0.7792), nor between different wavelengths (1565 nm, 1550 nm, 1927 nm; p = 0.7014). Combination therapy with laser and other treatments (e.g., minoxidil) showed a certain advantage over other treatments alone (MD = 9.74, p = 0.001). Adverse events were predominantly mild to moderate, including erythema, pain, and pruritus, all of which resolved spontaneously.

conclusionFractional laser therapy demonstrates marked therapeutic efficacy and a favorable safety profile in the treatment of androgenetic alopecia, making it a viable clinical treatment option. Future high-quality studies are warranted to further validate its long-term effectiveness and optimal treatment parameters.

Indexed as

AlopeciaLaser TherapyLow-Level Light TherapyCombined Modality TherapyErythemaHumansMinoxidilPruritusTreatment OutcomeMinoxidilablative fractionated lasersAGAandrogenetic alopecialasermetanon‐ablative fractionated lasers

Identifiers

PMID42121331
PMCPMC13168682

What OpenQuestion holds

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Registered trials

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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.