TY - CHAP M1 - Book, Section TI - Laser Treatments 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 Y1 - 2016 N1 - T2 - Taylor and Kelly's Dermatology for Skin of Color, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1161549788 ER -