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Record W4411219172 · doi:10.1002/lsm.70035

Consensus Statement on the Prevention and Management of Complications of Fully Ablative Laser Resurfacing of the Face

2025· article· en· W4411219172 on OpenAlexafffund
Bianca Y. Kang, Joel L. Cohen, Roy G. Geronemus, Suzanne L. Kilmer, E. Victor Ross, Elizabeth L. Tanzi, Jill Waibel, Brian J. F. Wong, Murad Alam, Macrene Alexiades, Kenneth A. Arndt, Mathew M. Avram, Ashish C. Bhatia, Brian S. Biesman, Jason D. Bloom, A. Jay Burns, Henry H. Chan, Catherine M. DiGiorgio, Jeffrey S. Dover, Sam Fathizadeh, Sara C. Esteves, Michael H. Gold, Gerald N. Goldberg, Merete Hædersdal, Elika Hoss, Omar A. Ibrahimi, H. Ray Jalian, Kristen M. Kelly, Woraphong Manuskiatti, Lisa Marks, Girish Gilly Munavalli, Jason N. Pozner, Christopher W. Robb, Anthony Rossi, Nazanin Saedi, Peter R. Shumaker, Kelly Stankiewicz, Molly Wanner, Douglas C. Wu, Adam J. Wulkan, Arisa Ortiz

Bibliographic record

VenueLasers in Surgery and Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicDermatologic Treatments and Research
Canadian institutionsSKiN Health
FundersBausch HealthGaldermaArgenxHorizon PharmaSanofiAllerganBristol-Myers SquibbEli Lilly and CompanyAmgenPfizerAmerican Society for Laser Medicine and Surgery
KeywordsAblative caseMedicineStatement (logic)Laser therapyDermatologySurgeryLaserOpticsRadiation therapyPolitical science

Abstract

fetched live from OpenAlex

OBJECTIVES: To achieve consensus among expert laser surgeons on standards for the prevention and management of adverse events from fully ablative laser resurfacing of the face. MATERIALS AND METHODS: Delphi study with two rounds of ratings and revisions until consensus was achieved. The draft set of statements was developed by a steering committee based on expert clinical experience. This was followed by two rounds of rating and revisions completed by an expert panel, then a virtual consensus meeting. In both rounds, respondents rated the draft statements on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) and optionally provided comments. The consensus meeting was supplemented by the results of a systematic review of the literature (from 2000 to 2023). RESULTS: Two rounds of Delphi survey were completed by 34 participants across four countries. Represented specialties were dermatology, facial plastic surgery, plastic surgery, and oculoplastic surgery. The initial 105 statements from round 1 expanded to 112 in round 2, with 96 statements achieving consensus. These included possible adverse events (11 statements); absolute and relative contraindications to treatment (5 statements); preoperative care and antimicrobial prophylaxis precautions (16 statements); intraoperative precautions (17 statements); postoperative care (21 statements); monitoring for and management of infection (16 statements); management of pigmentation changes (6 statements); and management of scarring and incipient scarring (4 statements). CONCLUSION: An international consensus statement was developed for the prevention and management of complications associated with fully ablative laser resurfacing of the face. While expert practices vary, key factors for optimizing outcomes include careful patient selection, counseling, and meticulous pre- and postoperative care. Further research will improve our understanding of this treatment technique.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.073
Threshold uncertainty score0.139

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.058
GPT teacher head0.365
Teacher spread0.307 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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