RT Book, Section
A1 Hobbs, Lori M.
A1 Ginn, Lisa R.
A1 Lu, Zhong
A2 Kelly, A. Paul
A2 Taylor, Susan C.
A2 Lim, Henry W.
A2 Serrano, Ana Maria Anido
SR Print(0)
ID 1161549788
T1 Laser Treatments
T2 Taylor and Kelly's Dermatology for Skin of Color, 2e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071805520
LK dermatology.mhmedical.com/content.aspx?aid=1161549788
RD 2024/04/23
AB KEY  POINTSThe  use  of  lasers  in  persons  with  skin  of  color  requires  an  understanding  of  laser  physics  and  laser  tissue  interactions.  Epidermal  melanin  in  skin  of  color  acts  as  a  competing  chromophore;  this  not  only  decreases  the  effect  of  laser  treatment,  but  is  also  likely  to  cause  nonselective  thermal  injury  to  the  epidermis.With  the  proper  selection  of  device,  wavelength,  and  parameters,  cutaneous  dermatologic  lasers  can  be  used  safely  on  individuals  with  skin  of  color.  To  minimize  unwanted  side  effects,  the  use  of  aggressive  parameters  is  discouraged.With  the  ideal  candidate  and  the  proper  clinical  setting,  intense  pulsed  light  (IPL)  often  treats  numerous  dermatologic  conditions.  However,  IPL  must  be  used  with  caution  in  patients  with  skin  phototypes  IV  and  is  not  the  desired  treatment  for  those  with  phototypes  V  or  VI.Fractional  lasers  show  promise  in  the  treatment  of  melasma,  acne  scarring,  and  skin  rejuvenation  in  patients  with  darker  phototypes.Test  spots  are  highly  encouraged  when  treating  people  with  darker  skin  phototypes.Skin  cooling  and  postoperative  skin  care  are  highly  recommended  for  patients  with  skin  of  color.