It has been seen that laser cosmetic procedures as well as chemical treatments have proved too harsh and damaging for those with darker skin. There was only a narrow range of skin that would react positively to this treatment. Those without fair to medium dark skin would suffer from burns, pigment discoloration, and excessive peeling. Fortunately, these cosmetic procedures have evolved and today many surgeons specialize in treating African American skin or anyone with richer pigmentation.

In the past, the main concern with treating darker skin was the development of keloid scars after the procedure. Keloids are thick, raised scar tissue that varies in color from pink to flesh to dark brown. Although generally not harmful, they can become itchy and often change to an undesirable texture and for some it could be the cause of emotional distress. Although people of all skin tones and textures may develop keloids, those with darker pigmented skin and their descendants are fifteen times more likely to suffer from this kind of scarring.

For those particularly prone to keloid scarring, there is good news. Non-invasive techniques can provide noticeable complexion improvement such as procedures like chemical peels and microdermabrasion. For chemical peels, mild acids (even more mild than those used for fair-skinned individuals) are applied to the skin, evening out the color and smoothing the surface. Microdermabrasion is an even milder treatment. A rough surface, similar in texture to sandpaper, is used to buff away the top layers of skin, revealing the fresh, unblemished layers below. Both treatments have been used with much success on African American skin; however, it is important to choose an aesthetician experienced with the challenges that darker skin presents.

People with more severe complexion problems, such as acne or eczema scarring, have had much success with laser skin resurfacing. This procedure helps even out the dark discoloration of scarring, blending them into the natural skin tone and texture. Since lasers are used to lighten the scars, when performed improperly, the skin can become blotchy and the pigment may get reduced too much. Spot testing on a small, concealable area of your body is recommended to ensure you choose a well-qualified technician and that your skin can successfully undergo treatment.

Another popular procedure that now successfully treats darker skin is laser hair removal. Even those with fair skin and fair hair were not able to benefit from this treatment. Previously, it was primarily used for those with light skin and dark hair. Now, new technology and techniques makes laser hair removal available for most skin colors and hair combinations. Certain skin and hair types may take more sessions for optimal results, but generally scarring and other complications are very rare. Like laser skin resurfacing, it is usually possible to request a spot test.

If you're still concerned about possible development of keloids, pigment discoloration, or other complications, consult with a qualified aesthetician or technician that specializes in African American skin to determine whether or not you would make a good candidate.