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. 2019 Jun 19;11(6):e4943. doi: 10.7759/cureus.4943

Table 1. Summary of skin resurfacing studies for the treatment of alopecia areata.

*Nd:YAG: neodymium-doped yttrium aluminum garnet.

Author, year Resurfacing technique Additional treatment(s) Study Design Laser/needling settings   Number of sessions Interval Number of Subjects Alopecia type Adverse effects results
Yalici-Armagan et al., 2016 [21] CO2 laser (10600 nm)     Nd:YAG* laser (1064 nm) None Prospective, split lesion study 10-45 mJ/cm2, 75-100 spots/cm2     10 J/cm2, 30 millisecond pulse 3-6     2-4 weeks   2-8 weeks 32 (19 male, 13 female) Alopecia areata Pain No improvement
Issa et al., 2016 [22] CO2 laser (10600 nm)   Topical corticosteroid Prospective study 60 mJ/spot, 100 spots/cm2, 2 passes 1-6 3 weeks 5 (1 male, 4 female) Alopecia areata Mild burning pain Improvement in all patients
Eckert et al., 2016 [23] Erbium glass laser (1550 nm) None Retrospective series Variable 2-3 3-6 weeks 5 (2 male, 3 female) Alopecia areata Pain Improvement in all treated lesions
Cho et al., 2013 [24] CO2 laser (10600 nm)   Erbium glass laser (1550 nm) Variable Retrospective series 30-50 mJ/spot, 150 spots/cm2   6-8 mJ/spot, 300 spots/cm2 2-3 3-6 weeks 3 (1 male, 2 female) Ophiasis Pain, crusting, scaling, erythema, and edema 2 of 3 patients demonstrated improvement
Tsai, 2011 [25] Erbium glass laser (1550 nm) Intralesional corticosteroid injection Split scalp case report Not reported 12 1 week 1 male Alopecia areata None Improvement vs steroid alone
Yoo et al., 2010 [26] Erbium glass laser (1550 nm) None Case report 10-15 mJ/spot, 300 spots/cm2, 2 passes 24 1 week 1 male Alopecia areata None Complete regrowth in treated lesions
Mysore et al., 2014 [27] Microneedle dermaroller Topical corticosteroids Case series   3 3 weeks 2 males Alopecia areata None Improvement  
Yoo et al., 2010 [28] 1 mm microneedle roller Topical methyl 5-aminolevulinate acid and photodynamic therapy with red light Split lesion case series   3 4 weeks 8 (2 male, 6 female) Alopecia areata Mild pain, and erythema No improvement