Laser and Energy-Based Devices in Aesthetic Practice: A 10-Year Single-Surgeon Review of Treatments, Complications, and Same-Practice Surgical Crossover
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ID: 317006
2026
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Abstract
Abstract Background The use of lasers and energy-based devices in aesthetic plastic surgery has increased substantially, yet long-term treatment patterns and their relationship to subsequent surgery remain unclear. Objectives To evaluate patient demographics, device utilization patterns, complications, and same-practice surgical crossover over a 10-year single plastic surgeon’s experience. Methods A retrospective review was conducted of all patients who underwent laser or energy-based treatments by the senior author between January 1, 2013 and January 1, 2023. Variables included patient demographics, device type, procedural characteristics, documented complications, and subsequent aesthetic procedures performed by the same surgeon. Treatment patterns were evaluated longitudinally by comparing device utilization at the initial, third, and final visits. Results A total of 632 patients underwent 1,905 laser or energy-based treatments. Patients were predominantly female (85.8%) with a mean age of 52.8 years at initial presentation. Fitzpatrick skin types II-III were the most common (72.2%). Intense pulsed light was the most frequently used modality overall (47.6%) and at the initial visit (40.3%), with increasing use of ablative modalities over time. A total of 26 complications (1.4%) were documented, most commonly hyperpigmentation (n = 7). Overall, 40.5% of patients underwent subsequent aesthetic surgery, accounting for 523 procedures, with a mean time to surgery of 4.2 years. Conclusion Lasers and energy-based treatments demonstrated a low rate of documented complications in single-surgeon practice and showed evolving patterns over time. A substantial proportion of patients underwent subsequent aesthetic surgery within the same practice, suggesting these modalities may play an important role in longitudinal patient engagement and the integration of nonsurgical and surgical care within comprehensive aesthetic care.
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| Authors | Carolyn Kim, Bhavana Thota, Vidhya Nadarajan, Anca Dogaroiu, Lauren Kim, Amor Niksic, Victoria Peters, Jennifer Barillas, John Hoopman, Jeffrey Kenkel |
| Journal | Aesthetic Surgery Journal Open Forum |
| Year | 2026 |
| DOI |
10.1093/asjof/ojag105
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| URL | |
| Keywords | Keywords not found |
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