The Truth About Laser Treatment For Darker Skin (And Why It Works Now)

For many years, patients with melanin, who have higher Fitzpatrick Skin Types — often referred to as darker skin types or skin of color — were told they were not candidates for laser treatment for dark skin. And to be fair, there was a time when that statement had some truth to it. Older laser technologies simply weren’t designed to safely and effectively treat higher levels of melanin.

Thankfully, that is no longer the case.

So why are some people still being told today that they aren’t candidates for laser treatment for darker skin? There are a few common reasons we still see:

• The laser being used isn’t appropriate for the specific concern (such as hyperpigmentation or melasma)
• The laser technology or wavelength isn’t the right match for dark skin
• The provider lacks experience or confidence performing dark skin laser treatment

Over the past several years, both laser technology and provider education have come a long way. As a result, there are now safe laser treatment options for dark skin.

In the past, most lasers were only considered safe for Fitzpatrick Skin Types I–III (and sometimes IV when used very conservatively). This excluded many patients from treatments for:

• Acne scarring
• Laser treatment for hyperpigmentation in dark skin
• Laser for melasma in dark skin
• Overall skin rejuvenation

Historically 1064 and ND:YAG and erbium lasers were the primary options for laser treatment for dark skin, and even then they were used mostly for laser hair removal.

Today, we’re able to safely treat dark skin with:

• Fractionated lasers
• Radiofrequency-based technologies
• Advanced customizable systems like HELIX CO2

By adjusting treatment settings — such as using lower energy levels and longer pulse durations — we can bypass surface melanin and significantly reduce the risk of burns or unwanted pigment changes. This makes modern devices some of the best laser options for dark skin.

Preparation and aftercare play a critical role in successful outcomes, especially when treating hyperpigmentation or melasma in darker skin tones.

Using hydroquinone (typically prescription strength, 4% or higher) before and after laser skin treatment for dark skin can help:

• Reduce the risk of post-inflammatory hyperpigmentation (PIH)
• Support proper healing
• Improve overall treatment results

One of the most exciting advances in laser for dark skin is the HELIX CO2 laser, which can be safely used on all Fitzpatrick Skin Types. The HELIX for dark skin offers unmatched flexibility by allowing providers to:

• Adjust treatment depth and energy
• Choose between ablative, non-ablative, or combination treatments
• Customize treatments for pigmentation, texture, and rejuvenation

This makes HELIX CO2 an excellent option for safe laser treatment for dark skin, including concerns like melasma and hyperpigmentation.

What does this mean for you as a patient? It often means taking a more gradual approach. Treatment series for laser treatment for darker skin may take a little longer, but results are achieved safely — and that’s always worth the extra time.

Finally, it’s important to remember that the laser itself is only part of the equation. The experience and training of your provider matter just as much.

When considering laser treatment for dark skin, don’t hesitate to ask:

• About your provider’s experience with diverse Fitzpatrick Skin Types
• Whether they regularly treat dark skin concerns like pigmentation and melasma
• How they customize settings for safety and results

While many newer providers are doing incredible work, experience treating diverse skin tones is essential for achieving safe, effective outcomes.

Ready to unveil your Cosmetic Treatment Plan and learn if laser is appropriate for your darker skin? Schedule a consultation today! (919) 797-0996.

Contributed by Sidnie, Nurse Injector