Unfortunately, all treatments for dark spots in dark-skinned individuals, and light-skinned patients too, have a risk of creating post inflammatory hyperpigmentation…or in other words the pigment of the skin reacts to the treatment by dropping the pigment cells or melanocytes in the dermis under the epidermis. This can leave you with a temporary darker coloration, which may be splotchy. Especially after individual spots are treated with pigment specific lasers rather than treating the whole face. The darkness can take months to even a year or more to subside, rarely it remains. Multiple light chemical peels and prescription lightening creams often reduce the color but this is a risk, including with Fraxel and other lasers and thermal devices. The Fraxel Restore is the best laser for helping dark coloration in dark-skinned individuals but there still is risk. Consult with a knowledgeable and conservative physician before agreeing to do the treatment. Sometimes, a test spot can be done. If the test spot darkens and doesn’t get better then you don’t want to do the treatment. If the test comes out OK, it doesn’t guarantee, however, that you won’t get a bad result.