Recognizing and Managing Complications in Laser Resurfacing, Chemical Peels, and Dermabrasion

Facial Plast Surg Clin North Am. 2020 Nov;28(4):493-501. doi: 10.1016/j.fsc.2020.06.008. Epub 2020 Sep 9.

Abstract

Skin resurfacing techniques allow improvement of skin texture and color. This includes the effacement of wrinkles, signs of photoaging, and the softening of scars. Laser resurfacing, chemical peels, and dermabrasion are associated with overlapping risks of complications. The most common of these include infection, hypopigmentation, hyperpigmentation, and scarring. Patient evaluation helps provide treatment that gives the maximal benefit with a minimization of risks. This includes understanding the extent of each patient's issues (Glogau scale) and Fitzpatrick type. A thorough knowledge of potential risks will reduce their incidence and optimize early recognition and treatment of these complications when they do occur.

Keywords: Chemical peel; Complications; Dermabrasion; Hyperpigmentation; Hypopigmentation; Infection; Laser resurfacing; Scarring.

Publication types

  • Review

MeSH terms

  • Chemexfoliation / adverse effects*
  • Cicatrix, Hypertrophic / etiology
  • Cicatrix, Hypertrophic / therapy
  • Dermabrasion / adverse effects*
  • Erythema / etiology
  • Erythema / therapy
  • Eye Injuries / etiology
  • Eye Injuries / prevention & control
  • Face
  • Humans
  • Hyperpigmentation / etiology
  • Hyperpigmentation / prevention & control
  • Hyperpigmentation / therapy*
  • Hypopigmentation / etiology
  • Hypopigmentation / therapy
  • Infections / drug therapy*
  • Infections / microbiology
  • Infections / therapy
  • Laser Therapy / adverse effects*
  • Risk Factors
  • Skin Pigmentation