Can Fraxel Be Used on Dark or Hispanic Skin Types?

When treating darker skin types with Fraxel it is very important to use Hydroquionone for 2-3 weeks prior and 7-10days after the procedure. The bleaching cream will suppress the melanin production and will prevent hyper pigmentation post laser. Darker skin should be treated with caution, less energy and intensity. More consecutive treatments are also necessary for darker skin with prolonged recovery time. As long as the procedure is done by an expert, with experience in treating darker skin type, you will see very good results with fraxel.

Depending on the patient's skin type, and history of postinflammatory hyperpigmenation, such as getting darker brown after acne blemishes, I will often do a test spot behind the ear and if there is no darkening seen after a few weeks, then I often do a second test spot on the face usually upper outer forehead or temple. If a hyperpigmented test site develops then treatment with the laser is not done. I do tell all my patients, who have two good test spots that there is no guarantee that they won't develop a darkening on the facial treated site. Sunblock is imperative and often we prescribe lightening creams before and after the procedure to limit the ability of the skin cells to create darkening as a result of the laser. We have noted less hyperpigmentation after Permea than Fraxel Dual, but many patients respond well to both.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

Fractionated laser has become quite popular in the United States because of the increased depth of treatment and the minimal downtime. The depth of fractionated laser can acheive greater results in comparison to typical laser resurfacing, while the fractionated beam diffuses the treatment area between treatments.
In ethnic skin types, there is a propensity to develop hyperpigmentation of the skin. This can be managed post-procedure, or more appropriately, before the treatment itself.
Our office uses a very strict protocol to minimize post-procedural hyperpigmentation before laser resurfacing.
In many cases, patients with hyperpigmentation after laser can be treated successfully with a topical prescription regimen. If you have developed hyperpigmentation after a surgical or laser procedure, you may be a candidate for reparative treatment.