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Does Fraxel Work on African American or Black Skin?

Is Fraxel appropriate for Black skin and hyperpigmentation scarring from acne? If so which Fraxel is recommended? If not what are the alternatives for Black skin?

Asked 43 months ago by turquoisebananas in London
Sort 3 expert answers by:
+1

Fraxel for acne scarring in skin of color

Fraxel Re:store can work well to improve the depressions of acne scarring. Pigmentation of acne scarring usually means that the individual is susceptible to post inflammatory hyperpigmentation and this will result from the laser as well. The darkening can last for more than two years if it fades by itself. Lightening creams and chemical peels may help hasten the fading of the darkening color.
Ronald Shelton, MD
Manhattan Dermatologist
+1

Fraxel restore for African American Skin

Hi Turq, Fraxel restore series is safe to use on Black skin for the treatment of acne scars. There is the possibility of further hyperpigmentation and even some hypopigmentation (skin getting a little lighter). In both cases the skin color changes are temporary and eventually return to a more uniform color. Fraxel repair would not be indicated for Black skin. Good luck and be well. Dr. P
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Fraxel for dark skin

There are two types of Fraxel laser: Fraxel restore- erbium based and less intensive laser Fraxel repair- CO2 laser and more intensive. I think that the Fraxel restore laser would be safer in treating Hyperpigmentation from acne and treat the acne scars. I use the Fraxel restore with great caution in someone with dark skin and use lower settings with more treatments to avoid making the Hyperpigmentation worse. I also combine it with a KTP laser at the same treatment session to improve the... more
Ran Y. Rubinstein, MD
Manhattan Facial Plastic Surgeon
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