Hyperpigmentation after laser therapy is highest in the darker skin. If you have Hispanic, Italian, Mediter. , Asian or similar skin or just dark eyes, your risk is higher for hyperpigmentation. A sunburn sensation is common in many patients.
Hyperpigmentation is described as a possible side effect in darker skin
I am very cautious in treating types III or higher skin type. If you have a darker complexion you may have to pre-treat for several weeks before with a hydroquinone before Fraxel treatment. While hyper-pigmentation is mentioned as a possible side effect of the laser, I have not had any cases to date. I think proper patient selection is important and proper settings of course. That is why only an experienced user in Fraxel should be chosen.