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Updated: May 30, 2026

Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation
Published on: May 23, 2025
Cosmetic procedures in skin of color
1Department of Dermatology, St. Luke's Roosevelt Hospital, and Columbia University College of Physicians & Surgeons, New York, NY, USA.
Abstract:
An increasing proportion of patients undergoing aesthetic procedures are individuals with skin of color (Fitzpatrick skin types IV-VI). Racial or ethnic differences exist in perceptions of beauty, the prevalence of specific cosmetic concerns, as well as optimal approaches to treatment. Most important, is the need to avoid treatment-associated pigmentary alterations and keloid scarring, of which there is a greater risk in patients with skin of color. Here we review leading esthetic concerns in the darker skinned patient and discuss approaches to treatment.
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