Ask a doctor

Can Fraxel Repair Be Used on Dark/Black Skin to Treat Hypertrophic Scarring?

Mainly on the face. What are the pros and cons? Can it also be used to treat dark elbows and knees? Thank you.

Doctor Answers 2

Fraxel repair not indicated for keloid in darker skin types

Dear Morocha10,  The Fraxel repair cannot be used for dark skin as it may destroy pigments in the skin and cause lighter scar-like areas (hypopigmentation).  Also, the possible heat injury from the laser may actually make your keloid worse.  So no to the Fraxel repair or any other co2-based laser for you. Hope that was helpful.  Dr. Vartanian from LA.


Glendale Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Have a question? Ask a doctor

Best Treatment for Hypertrophic Scars in Dark/Black Skin... Fraxel restore

Hi Mo,

Unfortunately Fraxel repair is contraindicated for the treatment of darker skin types because of the risk of hyperpigmentation.  I would recommend sticking with multiple treatments with Fraxel restore for hypertrophied scars in dark skinned patients.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.