Is fractional ablative laser ever appropriate for Fitzpatrick skin type IV?

Of course fractional lasers cannot be a cure-all for all sun damage. They are an important part of a regimented approach to facial rejuvenation. Best, Dr. Karamanoukian Realself100 Surgeon

Fractional lasers will almost always help with texture and pigment issues because it "resets" the top layer of skin. However, there are other less invasive modalities, such as IPL or erbium, that can also help with these concerns. If you have not had success with non-ablative lasers, it would be...

After fractional laser, you should consider fractional RF. In terms of aftercare, wash your face gently and make sure to place a soothing cream on the skin. Aquaphor may clog pores but is good. Best, Dr. Karamanoukian Realself100 Surgeon