Hair Removal Options in Darker Skin Types Through Laser Innovation and Energy-Based Modalities

    Ochuwa Precious Imokhai, Falen Mehari, Zohair Sira, Toan N. Vu, Julie Paik, F Jean, Rohit Chugh, Maha Alhoda, Mengli Zhang, Kelly Frasier
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    TLDR New laser technologies and methods are safer and more effective for hair removal on darker skin tones.
    The review highlights advancements in hair removal technologies for individuals with darker skin types (Fitzpatrick IV-VI), focusing on the limitations of traditional laser methods that can cause hyperpigmentation and scarring. It emphasizes the effectiveness of long-pulsed Nd:YAG lasers, which target hair follicles with minimal interaction with epidermal melanin, making them suitable for darker skin tones. The review also explores melanin-independent radiofrequency and RF microneedling systems as safe alternatives for conditions like pseudofolliculitis barbae. The authors advocate for developing Fitzpatrick-stratified laser protocols and standardized treatment parameters to enhance safety and efficacy for skin of color populations.
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