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This skin produces more melanin per stimulus than lighter skin types, which has clinical implications: Aggressive parameters that work safely in lighter skin can trigger post-inflammatory hyperpigmentation in Fitzpatrick III to V, compounding the original problem Visible light contributes meaningfully to pigmentation in deeper skin tones, requiring tinted sunscreens with iron oxide rather than standard transparent SPF The threshold for using ablative resurfacing (CO2, erbium) on pigmented skin is much higher than in lighter populations, where the post-inflammatory rebound risk is lower At Dr Cindy’s Medical Aesthetics, all laser parameters are calibrated for the patient’s specific Fitzpatrick type as a standard step, not an afterthought
