SUPPLEMENT: Algorithm for Pre-/Post-Procedure Measures for Facial Laser and Energy Devices Treatment

January 2021 | Volume 20 | Issue 1 | Department | ss3 | Copyright © January 2021


Published online December 24, 2020

Michael Gold MD FAAD,a Anneke Andriessen PhD,b David J. Goldberg MD JD FAAD,c Komel V. Grover MBA,d Shasa Hu MD FAAD,e Z. Paul Lorenc MD FACS,f Stephen H. Mandy MD FAAD,g Janelle M.Vega MD FAADh

aGold Skin Care Center, Nashville,TN;Vanderbilt University School of Medicine and Nursing, Nashville,TN
bRadboud UMC Nijmegen,Andriessen Consultants, Malden, Netherlands
cSkin Laser & Surgery Specialists of NY and NJ, Hackensack, NJ; Icahn School of Medicine at Mt. Sinai, New York, NY
dStrategic Development, Swiss American CDMO, Dallas,TX
eDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL
fLorenc Aesthetic Plastic Surgery Center, New York, NY; Department of Plastic Surgery, Lenox Hill Hospital, New York, NY
gDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami FL
hMayoral Dermatology, Miami, FL
cDallas Center for Dermatology and Aesthetics, Dallas,TX
dGeorge Washington University,Washington, DC

A previously published survey showed that currently, no guidelines or algorithms are available concerning periprocedural agents for laser skin resurfacing and their use in prevention or treatment of post-procedural side effects or complications.6

The current algorithm aims to be a tool for clinicians to use when treating patients with laser and energy devices for facial rejuvenation.

METHODS

The Role of the Panel and Process
In February 2020, a panel of dermatologists and plastic surgeons who regularly treat clinical signs of facial photoaging was convened for a meeting to develop an algorithm for pre-/post- procedure measures for facial treatment using laser and energy devices. The panel members were selected from the working group on pre-/post-procedure measures for facial aging signs and are authors of the survey on these measures.6

For the development of the algorithm, the best available evidence, outcome of a survey6 coupled with the panelists’ opinion, was used.

The process applied for this project followed a modified Delphi technique.7-9 The panel, consisting of seven members, discussed the proposed design of an algorithm for pre-/post-procedure measures, which was developed based on the selected literature from the conducted searches. After presentations of the summaries of the literature searches and the proposed algorithm, the panel worked in small groups, advising their algorithm, editing, and revising it at length.

The panel then reconvened into a plenary group to define the algorithm.The panel was to reach consensus through blinded reiterations and votes as an eighty-five percent (6/7) agreement was obtained to determine the final algorithm. Reviewing, finetuning, and discussing the manuscript took place online due to the impact of the COVID-19 pandemic and the diverse geographical locations of the panel.