Are there any Fraxel type lasers that can be used on medium brown to dark skin to resurface skin?

The answer to your question is yes. At my office, the Dr.U Hair and Skin Clinics in Los Angeles, we use the Fraxel Dual laser system which is safe enough for patients of all ethnic groups. The technology uses longer energy wavelengths, 1550nm and 1927nm, which are not easily absorbed by this pigment and minimizes the risk of overheating the skin which is more likely to occur with patients of color who have more melanin. The issues that you listed can be treated with Fraxel Dual which can resurface the skin, rejuvenate collagen production, and treat hyperpigmentation for a more even complexion. The laser energy applies precise amounts of heat to stimulate the fibroblast cells of the dermal layer. This simulates wounding and triggers new collagen production which tightens the skin and reduces the visibility of pores. The Fraxel Dual energy can also break up the pigment of your dark spots to clear them.

While the choices for African American skin are more limited, there are treatments that can produce excellent results for darker skin tones without risk for side effects. In my office, I feature more than 50 different laser devices so that I can customize treatments to the needs of every one of my patients. Another option for darker skin tones is RF microneedling, which heats the underlying dermal structure while triggering additional collagen production. The result is smoother, firmer skin with less danger of pigmentation irregularities or other unwanted side effects. 
I encourage you to schedule a consultation with a board-certified dermatologist who has expertise in working with a wide range of skin tones. With a qualified doctor, you should be able to design a treatment plan that works very well for you. 

Hello and thank you for your question. Unfortunately, it is very difficult to make an assessment without at least a few photos. I can tell you that treating African-American skin requires both expertise and experience to achieve an optimal result without unwanted side effects. In my office, we offer more than 45 laser devices so we are equipped to handle all skin tones, types and concerns. In addition to lasers, microneedling is an excellent choice for collagen production and skin enhancement that is safe and effective for most patients. Make sure you work with a board-certified dermatologist that is well-versed in ethnic skin tones to ensure your treatment plan is geared to your precise needs and aesthetic goals.