Active FX on Olive Skin - Should I Request a Test Patch?

For darker skinned individuals such as you, we advise a test spot first. The reason is darker skinned patients have a slightly increased risk of adverse pigmentation problems after facial resurfacing. We deliver the test spot in an inconspicuous area (ie behind the ear) and if no unusual reaction occurs, you can proceed with the full treatment.

If you have any questions about pigmentation changes from the laser, a test patch is a great idea. I would test just behind one ear. This way you can see how your body handles the Active FX. If you have not been given a pretreatment regimen, you should probably ask for one. This can help decrease the incident of side effects.

We have had the DeepFX/ActiveFX system for two years now and I have yet to see any pigment changes as a result of treatments. If I see a patient with a darker skin type (III or IV) I test patch them behind the ear. My biggest worry is lightening of the skin (hypo-pigmentation). The loss of pigment secreting cells (melanocytes) can make the treated area look bleached. It is believed this happens from damage occurring to the cells. Unfortunately, pre and post treatment plans are unlikely to... more

While it may be helpful to perform test patch prior to fractionated CO2 laser resurfacing, it is even more critical to work with a board-certified dermatologist or plastic surgeon to prepare your skin with a customized pre-op and post-op skin care routine at least 4 weeks prior to the treatment which may involve review of strict daily sun protection, topical bleaching cream, retinoid, etc. Even if you have a unremarkable test patch of Active Fx, Fraxel Repair, Mixto or other fractionated... more