Can African Americans Get Laser Resurfacing For Dark Under Eyes?

Question

I'm an African American, and I have bad dark under eyes which makes my appearance look bad. I've seen online that laser resurfacing may not work for dark skin. Can someone explain it in depth?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for your question. Laser skin resurfacing has several benefits: improved texture, elasticity, decreased wrinkles and improved appearance. However, there is always a chance for irregular pigmentary changes following the procedure. In your case as an African American... the darker the skin, the higher the risks. It would be wise to consult with a laser surgeon who is familiar with multiple laser devices and has a track record of treating African Americans. Please ask for "before" & "after" photos of dark-skinned patients. That way, you can discuss your expectations and desired treatment results. It is also important that the physician has experience handling laser complications. If you decide not to risk laser treatment, there are "bleaching creams" on the market as well as retinoid products that are less aggressive and may be more effective & safe for you.Good luck! I hope you find this helpful.

Kimberly Butterwick, MD · Answer

Yes, African-Americans and people with darker skin tones can get laser treatments but you must go to a VERY experienced laser physician for treatment.  In the wrong hands, it could backfire and damage your skin. An expert dermatologist or laser physician will be able to recommend the most appropriate treatment.

Manish H. Shah, MD, FACS · Answer

Hello Corey54293,

	Thanks for your question.  For patients of color, laser needs to be approached with caution.  There are a few types of technologies that can be used, such as Nd-Yag, that won't significantly increase the risks from laser.  Typical risks of laser in people of color are pigment change, scarring, and ineffective treatments.  Dark circles under the eyes are typically due to several things: thin skin showing deep blood vessels, weak blood vessels leaking iron pigment, and excess fat bulging causing a shadow effect.  An evaluation by an expert in cosmetic eye surgery, or blepharoplasty, could help you determine your issues.  Some people need special eye creams.  Some people need special bleaching creams.  Some people need surgery.

	Do your homework and find out what you really need.

	Good luck,

	Dr. Shah

Bryan Gawley, MD · Answer

Laser skin resurfacing is ideal if you want to look younger without surgery. The best candidates do not have folds of excess skin or dark skin. Laser skin resurfacing will restore elasticity and plumpness to your skin, but it does not remove excess skin. It can cause discoloration in dark skin.

Louis M. DeJoseph, MD · Answer

African american patients will often carry more pigment under the eyes appearing as dark circles.  Lasers are not very effective in treating this since they may darken or remove too much pigment from the area.  Treatment usually starts with some hydroquinone based lightening creams and sun protection.  It can also be from a hollow there as concave areas may appear darker on african american skin.  In that case a filler underneath may help the issue.

Can African Americans Get Laser Resurfacing For Dark Under Eyes?

Answers (7)

Answer: Laser Skin Resurfacing and Discoloration

Answer: Laser Skin Resurfacing and Discoloration

Answer: African American Skin and Dark Circles under eyes

Answer: African American Skin and Dark Circles under eyes

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Can African Americans Get Laser Resurfacing For Dark Under Eyes?

Answers (7)

Answer: Laser Skin Resurfacing and Discoloration

Answer: Laser Skin Resurfacing and Discoloration

Answer: African American Skin and Dark Circles under eyes

Answer: African American Skin and Dark Circles under eyes

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Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.