Cosmetic procedures have been an integral part of dermatologic surgery for over half a century, with a more recent proliferation of devices to improve skin color and texture and modify subcutaneous fat. Overall, cosmetic dermatologic procedures are extremely safe. However, detailed information about safety and effectiveness, and especially comparative effectiveness, is not available for many procedures. There are few randomized control trials of comparative effectiveness of different procedures for similar indications. Key comparative effectiveness studies are briefly reviewed, and areas of substantial deficiency in such research are highlighted.
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Serious adverse events resulting from cosmetic dermatologic procedures are exceedingly rare. Dermatologists safely perform a range of noninvasive and minimally invasive cosmetic procedures in an outpatient, in-office setting under minimal or local anesthesia.
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Sequelae after cosmetic dermatology procedures are typically mild, transient erythema and edema.
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There are few unbiased, objective outcome measures for evaluating the effects of cosmetic dermatology procedures.
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