Laser hair removal, peels, and laser treatments for spots and rejuvenation are popular procedures and, generally, safe when properly performed. However, the use of parameters unsuited to the patient's skin type, poorly calibrated equipment, or a procedure conducted by an inadequately trained professional can cause burns, permanent spots, and scarring — harm that, in most cases, would have been avoidable.
Common injuries in laser procedures
- First-, second-, or even third-degree burns in the treated area;
- Permanent hypopigmentation (light spots) or hyperpigmentation (dark spots);
- Scarring resulting from deep burns;
- Folliculitis and secondary infections in the damaged skin;
- Worsening of melasma or other pre-existing skin conditions due to the use of an inadequate parameter.
Common causes behind these injuries
Most serious injuries in laser procedures are associated with one or more of the following factors:
- An energy parameter on the device that's unsuited to the patient's skin phototype (darker skin requires specific adjustments, or it risks burns);
- Absence of a prior sensitivity test on more sensitive skin or areas;
- Lack of adequate skin cooling during the application;
- Equipment without proper maintenance or calibration;
- The procedure being conducted by a professional without the training and qualifications needed to safely operate the equipment.
The regulations on which professionals may operate certain types of laser in cosmetic procedures can vary. [CASE LAW TO BE CONFIRMED]
Not every reaction is considered an assumed risk
Mild, temporary redness can be an expected effect of several laser procedures, as long as it was disclosed in advance. Burns, permanent spots, and scarring, on the other hand, usually go beyond what would be a reasonable risk — especially when they result from a parameter error or improper operation of the equipment, rather than an unforeseeable individual reaction.
How to document a laser injury
- Photograph the injury right after the procedure and record its progression over the following days and weeks;
- See a dermatologist for an assessment and, if possible, a report linking the injury to the procedure;
- Ask the clinic for information about the equipment and the parameters used in your treatment;
- Keep the proof of payment and any intake form or sensitivity test performed (or the lack thereof);
- Gather the communications exchanged with the clinic before and after the procedure.