Dark skin black woman age late 50s, have hyperpigmentation from sun damage and age

will fraxel work on my hyperpigmentation not cause from acne scars but age and sun damage

Doctor Answers 5

Black and Skin and Treatment with Lasers

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I would definitely not treat your skin with Fraxel laser for this problem. I have all of these lasers but find that Fraxel would not be the best choice with the condition and skin type that you are describing. Please post a photo for the best advice. It sounds as if you would benefit more from a combination of chemical peels and hydroquinones.  Please consult a board certified dermatologist who has experience the dark skin for the best cosmetic results. Best, Dr. Green

Fraxel Treatments

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A series of Fraxel treatments in combination with a good skin care routine will reduce the appearance hyperpigmentation. It is crucial that the provider you choose has experience treating darker skin tones so they can properly and effectively treat your specific skin type and concerns.  Patients with darker skin tones must pre-treat with topical lightening creams and usually require lower settings resulting in more treatments. 

Seek treatment by an experienced board-certified facial plastic surgeon, general plastic surgeon, or dermatologist.

William Numa, MD, FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Fraxel is not the only choice

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Fraxel can indeed treat discoloration from age and sun damage for patients of darker complexions. The key to your success with a laser treatment for these concerns will be to select a physician with lots of experience treating patients with your concerns and skin tone, as well as a wide variety of lasers to choose from. 

Mark Karolak, DO, FAOCO
Bridgewater Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

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Photos will help.

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Yes, it can but a photo can direct us to a more accurate answer. If you have dark skin / Ethnic skin, sure, conservative settings of Fraxel 1927-1550 can help. 

There are however better- safer lasers such as picosecond wavelength Q Switch lasers such as Picosure, and Picoway that can deliver fractional laser energy to help with both pigment and collagen stimulation. 

It is always the method, and not the device that gives you the BEST outcomes. 


Dr Davin Lim 
Laser and aesthetic dermatologist

Hyperpigmentation On Face -- Clear + Brilliant/Viva/Fraxel, Microneedling/PRP, Skin lightening, Aerolase

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It is best to see a physician with laser experience and see you for a formal consultation to determine what is best.  Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 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.