{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:51:25Z","timestamp":1790146285747,"version":"4.0.1"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T00:00:00Z","timestamp":1672099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Acne scarring is disfiguring and psychologically taxing on patients. Many energy\u2010based modalities have emerged and been studied for the treatment of acne scarring; however, there is a paucity of these studies in skin phototypes IV\u2013VI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review the medical literature and discuss the most significant studies regarding safety and efficacy of energy\u2010based devices (ablative lasers, non\u2010ablative lasers, and radiofrequency microneedling) in the treatment of ethnic skin (skin phototypes IV\u2013VI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature search was conducted using the PubMed database and bibliographies of relevant articles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ablative and non\u2010ablative lasers have proven to be effective for treatment of acne scars in ethnic skin. The risk of developing adverse effects such as post\u2010inflammatory hyperpigmentation is contingent upon several factors including skin phototype, laser device, fluence, and moreso density settings. Non\u2010ablative fractional lasers have been considered first line for the treatment of acne scars in skin of color due to their better safety profile; however, they are less efficacious and require more treatments compared to ablative lasers. Studies regarding efficacy and safety of radiofrequency microneedling for treatment of acne scarring in skin of color are limited, but are promising.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ablative lasers, non\u2010ablative lasers, and radiofrequency microneedling are all useful treatments for acne scarring in ethnic skin when appropriate settings are used. Further head\u2010to\u2010head studies are needed to evaluate their efficacy and safety in darker skin phototypes V\u2013VI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.15572","type":"journal-article","created":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T07:34:50Z","timestamp":1672212890000},"page":"1177-1184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Energy\u2010based devices in the treatment of acne scars in skin of color"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2649-5323","authenticated-orcid":false,"given":"Shereen","family":"Teymour","sequence":"first","affiliation":[{"name":"Department of Dermatology Hackensack University Medical Center  Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Kania","sequence":"additional","affiliation":[{"name":"Skin Laser &amp; Surgery Specialists of NY and NJ  Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karan","family":"Lal","sequence":"additional","affiliation":[{"name":"Skin Laser &amp; Surgery Specialists of NY and NJ  Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8950-439X","authenticated-orcid":false,"given":"David","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Skin Laser &amp; Surgery Specialists of NY and NJ  Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.045377"},{"key":"e_1_2_11_3_1","unstructured":"LehmanS.New acne diagnoses linked to increased depression risk.Reuters. 2018."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000200"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329413"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/JCAS.JCAS_4_18"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001219"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20512"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.21092"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.138326"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000026642"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-013-1372-8"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000640"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12372"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.23368"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16643"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-21-1715"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.12.010"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2014.3045"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S74411"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.138328"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2019.03.002"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","unstructured":"WeinerAM.Photonics\u2010based radio\u2010frequency arbitrary waveform generation.Optical Fiber Communication Conference; 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