How I Treat Darker Skin Types | Dr Davin Lim

What types of lasers do I use in darker skin patients?
Bearing all this in mind, laser treatments in darker skin patient with acne scars can still be safely and effectively performed however I advise the following-
• I choose Erbium ablative over CO2 fully ablative as erbium laser has less chance of causing post laser skin colour changes
• I use a short pulse duration CO2 laser for darker skin types, the CO2 lasers I use include the Ultrapulse, Mixto MT, CORE, & the eCO2
• I don’t laser as deep, nor do I treat as aggressively compared to fair skin patients. This means darker skin patients may need an extra two or three laser treatments to achieve a similar improvement in acne scarring compared to lighter skin patients.
• I raise deep scars with a customised TCA CROSS Chemical peel- this elevated deeper ice pick and box car scarring. This in turn will make laser treatment safer, as I do not need to go as deep to target these scars
• I advise treatments such as Tixel, vascular lasers, or Pico lasers early in acne treatment, as these treatments are safe, effective and can prevent scar formation
• I always emphasise a high factor SPF sunscreen 2-3 times a day, before any acne scar treatments. Occasionally I use a bleaching cream to help reduce any post laser complications.
• Laser for acne scars in darker skin patients can be effective, however safety is always the number one priority.
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