Will I suffer from hyperpigmentation if lasers are used on me to remove wrinkles?

Question

Can lasers to remove facial and throat wrinkles be safe to use on people with brown skin or not? Hyperpigmentation…?

Anna Petropoulos, MD, FRCS · Answer

Hello henryfrankel, thank you for this question! Laser treatments to reduce wrinkles can be safe for darker skin if proper precautions are taken to minimize the risk of post-inflammatory hyperpigmentation (PIH). Non-ablative lasers, such as the Nd
(1064 nm) or fractional devices like Fraxel, are preferred as they target deeper skin layers with less surface damage. Ablative lasers, such as CO2 or erbium, carry a higher risk of hyperpigmentation and are generally less recommended for darker skin tones. Pre-treatment with topical lightening agents like hydroquinone or azelaic acid can reduce PIH risk, while conservative laser settings minimize trauma. After treatment, daily use of high-SPF sunscreen is essential to protect vulnerable skin, and follow-up care should address any pigmentation changes. Choose a provider experienced with darker skin tones for optimal laser selection and personalized care. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Boston & Danvers, MA.

Anna Chacon, MD, FAAD · Answer

When considering laser treatments for wrinkle removal, particularly for individuals with brown skin, it's important to be aware of the risk of hyperpigmentation. Lasers can be safe and effective for skin rejuvenation, but the type of laser and the expertise of the practitioner are crucial factors in minimizing risks.

Certain lasers, such as Nd:YAG and fractional lasers, are generally considered safer for darker skin tones because they are less likely to cause pigmentation changes. However, there is still a risk of hyperpigmentation or hypopigmentation, especially if the skin is not properly assessed and prepared before the procedure.

To reduce the risk of hyperpigmentation, it's essential to:

Consult with a Board-Certified Dermatologist or Experienced Laser Specialist: Ensure that the professional has experience treating patients with your skin type.

Pre-Treatment Assessment: The dermatologist should assess your skin type and condition to choose the most appropriate laser and settings.

Post-Treatment Care: Follow all post-procedure care instructions, which may include sun protection and the use of topical treatments to support healing and prevent pigmentation changes.

Test Patch: Consider a test patch to see how your skin reacts before proceeding with full treatment.

Always discuss your concerns and treatment options with your dermatologist to ensure the safest and most effective approach for your skin type.

Will I suffer from hyperpigmentation if lasers are used on me to remove wrinkles?

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