The exploration of energy-based devices in the management of acne and its associated sequelae in individuals with skin of color is gaining significant attention within the dermatological community. This is particularly relevant given the unique challenges that this demographic faces in the treatment of skin conditions, including variances in skin responses and post-inflammatory hyperpigmentation. A recent comprehensive review published in Archives of Dermatological Research delves into the efficacy and safety of various energy-based treatments while providing critical insights into their practical applications in this specific population.
The review highlights a range of energy-based devices used for treating acne, including light and laser therapies, radiofrequency treatments, and ultrasound applications. Each modality leverages different mechanisms—photothermal and photomechanical effects—targeting the sebaceous glands, reducing inflammation, and promoting skin rejuvenation. The considerations for skin of color patients are particularly poignant, as these individuals may have a heightened risk of adverse effects, including scarring and discoloration, which can arise from both the acne itself and its treatments.
Among the devices discussed in the review, laser therapy stands out due to its precision and efficiency in reducing acne lesions. Pulsed-dye, Nd:YAG, and fractional lasers have shown promise in targeting the superficial layers of skin without significant damage to the underlying structures. Recent clinical studies have demonstrated their effectiveness in reducing inflammatory lesions and improving overall skin texture, but the authors caution that careful patient selection remains essential to mitigate potential complications such as post-inflammatory hyperpigmentation, which is notably prevalent in individuals with darker skin tones.
Intense pulsed light (IPL), another noteworthy technology, operates on the premise of broad-spectrum light exposure which helps to diminish acne-causing bacteria while reducing inflammation. As the review outlines, IPL has shown to yield favorable outcomes in patients with skin of color, provided that the settings are meticulously adjusted to suit individual skin types. Lower fluence and longer pulse durations are recommended to reduce adverse effects, which can often be a concern in this population.
Radiofrequency devices have also emerged as an innovative option for acne treatment. These devices work by heating the deeper layers of skin, stimulating collagen production and enhancing skin tightness. The review emphasizes their dual benefits: not only do they help address acne lesions, but they also assist in improving the appearance of acne scars, a common concern for patients with skin of color. Clinical evidence suggests that when combined with microneedling, radiofrequency can yield synergistic improvements in skin texture and tone.
Ultrasound energy, while less commonly associated with acne treatment, is gaining traction due to its ability to enhance the delivery of topical therapies through the skin more effectively. This is particularly beneficial for individuals whose skin may absorb treatments less efficiently. The synergistic effect of ultrasound in combination with topical medications is a promising area of research that the authors underscore, suggesting a pathway to amplify treatment effectiveness while minimizing potential side effects.
In discussing safety considerations, the authors stress the importance of practitioner experience and thorough patient education. Due to the unique responses that skin of color can exhibit, a personalized treatment approach is critical. Practitioners should engage in detailed consultations to assess skin type, previous treatment histories, and any potential risks of adverse reactions. The review calls for heightened awareness among dermatologists to equip them with the necessary tools to handle the nuances of treating acne in this diverse patient population.
The role of pre- and post-treatment care is also emphasized within the review. Implementing a comprehensive skincare regime can significantly improve treatment outcomes. At-home care products, such as gentle cleansers, non-comedogenic moisturizers, and effective sun protection, are vital in supporting the results achieved through office-based treatments. Patients are encouraged to adopt a holistic approach that includes lifestyle modifications and dietary considerations to complement their skincare routines and improve overall skin health.
Furthermore, addressing the psychosocial aspects associated with acne treatment is paramount. Patients with skin of color often experience unique societal pressures and stigmas, which can exacerbate the emotional burden of skin conditions. The review advocates for a supportive therapeutic environment where patients can express concerns and expectations, ultimately improving compliance and satisfaction with treatment plans.
As interest grows in the use of energy-based modalities for acne treatment, further research is essential to establish standardized protocols that ensure safety and efficacy within diverse populations. The authors conclude that collaborative efforts among researchers, clinicians, and patients will drive progress in addressing these critical issues. As the dermatological community continues to investigate and refine these technologies, it is vital to stay informed of emerging evidence that underscores their role in enhancing treatment success for individuals with skin of color.
In summary, the review elucidates the potential of energy-based devices in transforming the landscape of acne treatment, particularly for individuals with skin of color. With careful implementation of these technologies, clinicians can not only improve clinical outcomes but also enhance the quality of life for patients who have long grappled with the stigma and complications of acne. As our understanding of optimum treatment strategies evolves, the dream of achieving clearer skin for all individuals, regardless of skin type, inches closer to reality.
Subject of Research: Use of energy-based devices for acne and sequelae in skin of color.
Article Title: Use of energy-based devices for acne and sequelae in skin of color: a review of efficacy, safety, and practice considerations.
Article References:
Tasneem, S., Bayrouti, A., MacIntyre, D. et al. Use of energy-based devices for acne and sequelae in skin of color: a review of efficacy, safety, and practice considerations. Arch Dermatol Res 318, 31 (2026). https://doi.org/10.1007/s00403-025-04500-8
Image Credits: AI Generated
DOI:
Keywords: energy-based devices, acne treatment, skin of color, laser therapy, radiofrequency, intense pulsed light, ultrasound therapy, post-inflammatory hyperpigmentation, skincare routines, psychosocial factors.
