Contraindications of using endolift subdermal lasertherapy technique in the treatment of aesthetic disorders

Introduction: Endolift subdermal laser therapy is a promising technique for reducing fat and treating aesthetic disorders on skin and subcutaneous tissue. However, its application is not riskless, and it is essential to identify contraindications to ensure patient safety during its use. Objective: This article aimed to describe the contraindications regarding the use of subdermal laser techniques (Endolift and/or Endolaser) used to treat aesthetic disorders. Methodology: This study is characterized by exploratory research presented through a narrative review, to highlight the need for and importance of rigorous selection of patients initially chosen for treating aesthetic and/or functional dysfunctions with subdermal laser. Results: The subdermal laser therapy which uses a laser beam of 1470 nm (Endolift) and/or 980 nm (Endolaser), presents important contraindications which must be considered before treatment. Among the main contraindications reported are allergies to anesthetics, blood dyscrasias, vascular disorders, use of anticoagulants, presence of biopolymers in the area to be treated, history of abnormal scarring (such as keloids), in addition to active epidermal lesions and decompensated autoimmune diseases. Conclusion: Recognizing contraindications of using Endolift is crucial for patient safety and treatment effectiveness and, therefore, careful evaluation of the patient's clinical history and pre-procedure examinations are important and, perhaps, necessary to minimize possible complications associated with the restrictions imposed by such contraindications.