The FDA considers Lumecca safe only for people with very fair to light brown skin tones, specifically Fitzpatrick skin types I-IV.
IPL carries a risk of hyperpigmentation, blistering, burning, and other skin reactions on dark skin, but an experienced physician who understands the levels of Lumecca should be able to safely treat you with the proper energy settings. If your skin tone has brown pigmentation or is deeply melanated, get a patch test first, or talk with your provider about a safer type of treatment.Â
“I find it best in my practice to gradually increase energy over time and check results with the patient,” says Dr. Paul Hester, a physician in Lexington, Kentucky. “Test spotting the discoloration with different wavelengths has been effective for dark skin. Sometimes we do two to three visits, spaced over several weeks, so we can carefully monitor the skin response.”
To reduce your risk of hyperpigmentation, whatever your skin tone, stop using topical retinoids two months in advance and avoid excessive sun exposure and tanning for the month prior to your appointment.
If you have any existing medical conditions, let your doctor know.