Fractional Resurfacing in the Asian Patient: Current State of the Art

The 2016 document reviewed the effectiveness and safety of fractional resurfacing treatments, such as non-ablative fractional laser (NAFL) and ablative fractional laser (AFL), for Asian patients. It concluded that fractional resurfacing is a safe and effective first-line therapy for atrophic acne scarring, hypertrophic scarring, and photorejuvenation. NAFL treatments are recommended to be administered at lower densities over a longer period to minimize the risk of post-inflammatory hyperpigmentation (PIH), while AFL treatments are reserved for more severe cases. For melasma, NAFL is considered a second-line option due to the variable and often temporary improvement and the potential for rebound hyperpigmentation. The document also suggests that combination treatments may be more effective for various skin issues, but emphasizes the need for more research to optimize treatment parameters for Asian patients. The most common complication, PIH, can be mitigated with proper skin care and treatment settings.