Active FX for a Dark Complexion

Im not African-American but I am dark complected because I am a sun worshipper and have been for years. I have some brown spots on my face and many on my chest. Very large pores. I am scheduled to have Active FX at the end of October on my face, neck, and chest but after reading some comments I am worried about hyperpigmentation.

My physician has told me to stay out of the sun until and after my procedure but am worried that maybe that wont be long enough. When will my skin be ready for this treatment? Has this procedure ever been done on the neck and chest too?

Doctor Answers 2

Active FX can work on darker skin

While darker skin patients have a higher risk of post treatment hyper or hypopigmentation problems, most can be safely treated if the surgeon is experienced and selects appropriate settings. Often, we recommend a test spot in an inconspicuous area (ie. behind the ear) first before proceeding with the formal treatment.

San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Darker complexion individuals should have adequate pretreatment prior to Fractional CO2 Laser

The risk of postinflammatory pigmentation with your history of darker complexion is nontrivial but may be better managed by a board-certified dermatologist who has the experience of treating greater than 50 patients of your skin type/complexion using Fractional CO2 Laser Resurfacing. You absolutely need pre-treatment with topical retinoid and/or hydroquinone and possible post-treatment as well. Daily sun protection goes without saying.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 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.