ebpracticenet urges you to prioritise the following organisational guidance:
AcnePublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2017AcnéPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2017
Laser and light treatments
Evidence (low quality) suggests that red and blue light therapy may be useful for people with moderate to severe acne.[79]Barbaric J, Abbott R, Posadzki P, et al. Light therapies for acne. Cochrane Database Syst Rev. 2016 Sep 27;9(9):CD007917.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007917.pub2/full
http://www.ncbi.nlm.nih.gov/pubmed/27670126?tool=bestpractice.com
[80]Boen M, Brownell J, Patel P, et al. The role of photodynamic therapy in acne: an evidence-based review. Am J Clin Dermatol. 2017 Jun;18(3):311-21.
http://www.ncbi.nlm.nih.gov/pubmed/28276005?tool=bestpractice.com
Results from studies of pulsed-dye laser therapy (yellow light) are inconsistent.[79]Barbaric J, Abbott R, Posadzki P, et al. Light therapies for acne. Cochrane Database Syst Rev. 2016 Sep 27;9(9):CD007917.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007917.pub2/full
http://www.ncbi.nlm.nih.gov/pubmed/27670126?tool=bestpractice.com
Laser treatment, both ablative and non-ablative, may be used to treat residual acne scarring.[81]Ong MW, Bashir SJ. Fractional laser resurfacing for acne scars: a review. Br J Dermatol. 2012 Jun;166(6):1160-9.
http://www.ncbi.nlm.nih.gov/pubmed/22296284?tool=bestpractice.com
One prospective, open-label, single-arm trial of the novel 1726 nm laser reported that approximately 87% of the trial participants demonstrated a ≥50% reduction in active acne inflammatory lesions at 26 weeks in patients with moderate to severe acne.[82]Alexiades M, Kothare A, Goldberg D, et al. Novel 1726 nm laser demonstrates durable therapeutic outcomes and tolerability for moderate-to-severe acne across skin types. J Am Acad Dermatol. 2023 Oct;89(4):703-10.
http://www.ncbi.nlm.nih.gov/pubmed/37328000?tool=bestpractice.com
Laser and light therapies are not routinely prescribed; more research is needed to evaluate their effectiveness and to determine any long-term adverse effects.
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How do different interventions compare for people with acne scars?/cca.html?targetUrl=https://www.cochranelibrary.com/cca/doi/10.1002/cca.2881/fullShow me the answer In the UK, photodynamic therapy may be considered for patients who are over 18 years old with moderate to severe acne if other treatments are ineffective, not tolerated, or contraindicated.[34]National Institute for Health and Care Excellence. Acne vulgaris: management. Dec 2023 [internet publication].
https://www.nice.org.uk/guidance/ng198
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In the UK, photodynamic therapy may be considered for patients who are over 18 years old with moderate to severe acne if other treatments are ineffective, not tolerated, or contraindicated.[34]