Contraindications of Using Fractional CO2 Laser in the Treatment of Aesthetic Disorders: A Narrative Review

January 2025 in “ Journal of Biosciences and Medicines ”

Fábio dos Santos Borges, Mariana Bonat Trevisan, Alberto R. Ferraz, Giovanna Pontes Pina Vidal, Flavianny Silva Artiaga, T. Coutinho, Nara Gazola, Francisco Barbosa de Araújo Neto, Erika Marchesini, Rodrigo Soliva Jahara

fractional CO2 laser pigmentary disorders high phototypes autoimmune diseases inflammatory skin conditions photosensitivity keloids ablative laser treatment isotretinoin anticoagulant CO2 laser Accutane

TLDR Careful patient selection is crucial for safe and effective fractional CO2 laser therapy.

This narrative review highlights the importance of recognizing contraindications for fractional CO2 laser therapy in treating aesthetic disorders to ensure patient safety and effective outcomes. Key contraindications include pigmentary disorders, high phototypes, active autoimmune diseases, inflammatory skin conditions, photosensitivity, pregnancy, history of keloids, active infections, recent ablative laser treatment, recent isotretinoin use, and anticoagulant use. The study emphasizes that careful patient selection and individualized treatment planning are crucial for maximizing benefits and minimizing risks associated with this therapy.