Purpose: To describe complications associated with laser resurfacing along
with specific treatment recommendations.
Methods: The authors' experiences with laser resurfacing complications are
discussed in conjunction with a review of published reports. Current preope
rative and postoperative regimens are also presented.
Results: Postoperative erythema occurs in all patients and is considered a
transient side effect, not a complication. Postinflammatory hyperpigmentati
on, hypopigmentation, scarring, wound infections, milia, ectropion, pain, a
cneiform eruptions, pruritis, and contact dermatitis are reported by multip
le authors. Specific interventions combined with the passage of time allow
most of these complications to resolve, leaving the patient with an accepta
ble final result.
Conclusions: Although laser resurfacing is a safe and effective method of f
acial rejuvenation, the cosmetic surgeon must be aware of the various compl
ications that may be encountered. Prompt recognition of complications and a
ppropriate management provide the best opportunity for an acceptable aesthe
tic outcome.