A Prospective Comparison of Patient Reported Outcomes After Facial Laser Resurfacing

Introduction: Laser resurfacing provides a minimally invasive method for addressing facial/neck skin rejuvenation neglected by modern surgical approaches. Despite its popularity, there is a paucity of outcome data. Herein, we present patient reported outcomes (PROs) to assess the effectiveness of a single surgeon’s approach to skin rejuvenation. Methods: Adult patients undergoing first-time facial laser resurfacing (with broadband light and hybrid Er:YAG/thulium laser or hybrid thulium fractional laser alone) between March 2023 - February 2024, performed by the senior author (GG) and laser specialist (Registered Nurse: RN (LS)), were prospectively analyzed. Patient demographics, laser technique/settings, prophylactic medication, and post-procedure management were collected. PROs were assessed during early and late recovery periods, using 10 FACE-Q surveys related to appearance, health-related quality of life (HRQOL), and adverse effects. A paired student’s t-test compared pre- and post-treatment responses. Results: A total of 71 (69 female, two male) patients were identified. The mean age was 56 years [40-78]. Most (>50%) patients experienced tightness, swelling, tenderness, discomfort, and burning in the early recovery period, that dissipated over time. Post-procedure facial ( p < 0.001) and skin ( p < 0.001) appearance scores improved significantly, whereas that of facial lines insignificantly improved ( p = 0.053). Overall, most patients were satisfied with the treatment outcome and their decision to undergo laser resurfacing. Conclusion: Patients were highly satisfied with both the decision to undergo the procedure and the outcome, particularly in facial appearance and HRQOL. They experienced minimal adverse effects in the early recovery period that dissipated over time.