Lasers' Role in Broadening the Pediatric Toolbox

It is time to consider non-pulse dye lasers in pediatric populations, Deepti Gupta, MD, shared at the Society for Pediatric Dermatology 37th Annual Pre-AAD Annual Meeting in Orlando, Florida.1 Gupta, a pediatric dermatologist at Seattle Children's Hospital and the University of Washington School of Medicine, provided a comprehensive overview of the role of lasers in pediatric dermatology. Her presentation focused on the use of laser hair removal for various medical conditions in pediatric patients, emphasizing both the therapeutic benefits and practical considerations of laser treatments in this population.

Although many pediatric dermatologists are familiar with pulse dye lasers, the use of non-pulse dye lasers, such as Alexandrite and diode lasers, remains less widespread, Gupta explained. She underscored the potential of these lasers as valuable tools for treating conditions such as congenital birthmarks, pigmented lesions, scarring, and hair removal in pediatric patients with underlying medical conditions.

One of the key takeaways from Gupta’s session was the importance of tailoring laser treatments to the unique needs of pediatric patients. Unlike adults, children require additional considerations regarding pain management, tolerability, and treatment logistics. She emphasized the need for a multidisciplinary approach, involving the right support team to ensure safe and effective treatments.

Gupta also addressed concerns regarding the potential side effects of laser treatments in pediatric patients, including risks of dyspigmentation, blistering, and scarring. She posed critical questions regarding the long-term efficacy of early laser interventions, such as whether treatment in childhood increases the likelihood of recurrence or provides lasting results.

A crucial aspect of laser therapy, she noted, is engaging in shared decision-making with families. Educating patients and caregivers about the number of sessions required, expected discomfort, and potential outcomes helps set realistic expectations. She compared laser treatments to alternative modalities, such as surgical excision, highlighting how lasers may reduce surgical morbidity and improve long-term cosmetic outcomes. By sharing the pros and cons with families, clinicians can empower them to make the best treatment decision for the child.

Reflecting on the broader landscape of pediatric dermatology, Gupta expressed enthusiasm about the increasing availability of US Food and Drug Administration-approved treatments for chronic pediatric dermatologic conditions. She is eager to see how expanding therapeutic options, including both lasers and systemic treatments, will shape the future of pediatric dermatology.

Beyond the clinical insights, Gupta emphasized the value of the AAD Annual Meeting as a forum for knowledge exchange and collaboration. Like many others, she appreciates the opportunity to engage with fellow dermatologists, learn about emerging advancements, and collectively enhance patient care.

Gupta said she hoped her session would help clinicians better understand the evolving role of lasers in pediatric dermatology, and she encouraged dermatologists not to shy away from integrating these tools into their practice, ultimately expanding treatment options and improving patient outcomes.

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Reference

1. Gupta D. "Beyond PDL: Lasers for the Pediatric Dermatologist." Presented at: Society for Pediatric Dermatology 37th Annual Pre-AAD Annual Meeting; March 6, 2025; Orlando, Florida.