Laser Treatment for ‘Skin of Colour’
The specialised needs for indigenous, ethnic and Asian skin results from a predisposition to pigment changes. Though all darker skin types experience the usual skin concerns, they have increased certain types of hyperpigmentation.
Indigenous, Ethnic & Asian Skin Treatment
This group have a Fitzpatrick skin type of 3 or higher and need specialised treatment. The group is susceptible to common skin concerns across the ages, including acne, acne scarring, enlarged pores, unwanted facial pigmentation, wrinkles and facial volume loss and sagging.
Specifically, skin pigmentation concerns are significant within this group, with a higher incidence of post-inflammatory hyperpigmentation (P.I.H), melasma and other pigmentation types from sun exposure or hereditary. Darker skin types are universally susceptible to PIH, resulting in inappropriate skin treatments (the wrong laser or IPL or too strong a chemical peel). It also happens with skin inflammation like pimples or exposure to trauma. This predisposition to PIH or rebound inflammation means laser skin treatment is entirely different for Asians. Lower power, specialised lasers and more treatments are required. In addition, Asian skin types are more susceptible to enlarged pores. However, unwanted broken capillaries are not expected; a significant portion of skin types 3 & 4 presents with rosacea.
Best Lasers for skin treatment in ‘skin of colour’.
The best lasers for darker skin types are q switched nanosecond or picosecond lasers. Picosecond laser not only safely treats pigmentation in darker skin types but also provides treatment for reduced pore size, fine lines and wrinkles, and general improvement through a unique (no downtime ) laser facial.
Radiofrequency skin needling such as Infini and Secret RF or sub ablative radiofrequency such as eMatrix is safe to use. These can be used for acne, scar, and general skin improvement or skin tightening.
Though IPL can be used safely on skin type 3 and common skin type 4 for rosacea, extreme care must be exercised as the heating accompanying IPL can cause PIH. In addition, skin type 3 can also receive fractionated CO2, once again depending on the ethnic background.
Fraxel laser is also suitable for Asian skin treatment. Though radiofrequency with skin needling has lower downtime and more collagen-stimulating power. Pico-lasers target pigment without thermal heating, making them the best lasers for melasma, reducing enlarged pores and fine lines and wrinkles.
Skin Care for darker skin types.
Skin Care for darker skin types includes vitamin A, B & C for fair-skinned people. However, there is increased use of skin lightening or bleaching creams. These are often used in combination for laser treatment because it allows the safer application of lasers.
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Fitzpatrick 3 to 6 Skin Type Skin Treatment.
This group includes indigenous Australian and south sea islanders, New Zealand Maori.
Asian skin treatment for people from China, Taiwanese, Philippine Vietnamese Korean, Malaysian, Japanese, being the most common groups in Brisbane, however, there are many more representatives)
The Mediterranean, with Greek & Italian being the most common in Brisbane.
Indian, South American & middle eastern as well as other European countries of African descent.