Laser Therapy on Darker Ethnic Skin

    October 2003 in “ Dermatologic clinics
    Eliot F. Battle, Lori Hobbs
    TLDR Laser therapy on darker skin has higher risks and needs expert handling.
    The document discussed the complexities and considerations of using laser therapy on darker ethnic skin (phototypes IV to VI). It highlighted that melanin in darker skin absorbs a wide range of laser wavelengths, which can lead to increased risks of epidermal heat and side effects. The document emphasized the need for conservative and cautious approaches, including thorough patient consultations and test spots to determine safe treatment parameters. It also noted that nonablative lasers are generally safer for skin rejuvenation in darker skin types, while ablative lasers pose higher risks of dyspigmentation and scarring. Advances in laser technology have made hair removal safer for all skin types, but treating vascular lesions and keloids remains challenging. Overall, a higher level of expertise and clinical experience is recommended for safely treating patients with darker skin using laser therapy.
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