Resumo
Objetivos: analisar a evidência disponível sobre as indicações, contraindicações, tecnologia, segurança e eficácia da fotodepilação a laser e luz intensa pulsada (IPL) em crianças e adolescentes.
Metodologia: realizou-se uma revisão narrativa da literatura nas bases PubMed/MEDLINE, Embase e Google Scholar utilizando os termos: “pediatric laser hair removal”, “children photoepilation”, “adolescent IPL”, “fotodepilación pediátrica”, sem restrição de idioma, até dezembro de 2025. Foram incluídos ensaios clínicos, estudos de coorte, séries de casos, revisões sistemáticas e diretrizes de consenso.
Resultados: a fotodepilação em crianças e adolescentes é um procedimento seguro quando realizada por profissionais médicos capacitados. A evidência, embora limitada a estudos de coorte e séries de casos com um total de 71 pacientes na revisão sistemática mais recente, demonstra uma redução satisfatória dos pelos, com efeitos adversos em sua maioria transitórios. Os dispositivos avaliados incluem laser de rubi (694 nm), alexandrita (755 nm), diodo (800-900 nm), Nd:YAG de pulso longo (1064 nm) e luz intensa pulsada. As principais indicações são hipertricose, hirsutismo, hamartomas pilosos, cisto/seio pilonidal recorrente e cuidado de afirmação de gênero. O perfil de segurança é comparável entre os dispositivos. Complicações graves são infrequentes e incluem queimaduras, discromias e hipertricose paradoxal (prevalencia estimada: 3%).
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Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Direitos autorais (c) 2026 Pablo Ifran, Daniela Bermudez, Agustina Acosta, Mariela Alvarez
