New Consensus Algorithm Guides Skincare Use With Energy-Based Acne Treatments

A new consensus-based study published in Journal of Drugs in Dermatology outlines a practical, stepwise algorithm for integrating skincare with energy-based devices (EBDs) in the management of acne and acne sequelae. Titled “Practical Algorithm for Acne Treatment Integrating Skincare and Energy-Based Devices,” the paper addresses a growing gap between procedural acne care and evidence-based skin care recommendations.

Energy-based devices—including lasers and light-based technologies—are increasingly used alongside topical and systemic therapies for acne. While the role of skincare in acne management is well established, the authors note that few prior publications have provided guidance on how to align skincare regimens with EBD use in routine practice.

The algorithm was developed through expert consensus. Six dermatologists from North America participated in a live meeting, supported by survey input from 6 additional advisors and 94 other physicians. The final panel of 11 dermatologist-authors represented Asia, Europe, Australia, and North America and contributed to algorithm development and manuscript review.

The proposed framework emphasizes periprocedural skincare as a core component of EBD-based acne treatment. According to the authors, moisturizers are critical both before and after procedures to maintain skin hydration, protect the barrier, and reduce irritation. Topical antioxidants are highlighted for their role in soothing inflammation and supporting barrier repair, with evidence suggesting benefits for tissue healing when used periprocedurally. Photoprotection is also underscored as essential, with broad-spectrum sunscreens supporting barrier function, reducing transepidermal water loss, and potentially shortening recovery time while lowering the risk of post-inflammatory hyperpigmentation after laser procedures.

The authors acknowledge limitations, including the survey’s focus on office-based devices and the omission of sunscreen-specific questions, despite its recognized importance in acne care. The algorithm reflects expert consensus informed by available literature rather than comparative effectiveness testing.

In their conclusion, the authors state: “The algorithm presents an integrative approach for treating acne and its sequelae, with concurrent use of prescription acne treatments, skin care, and energy-based devices for optimal patient outcomes.”