Acne, Scarring and Darker Skin Types
Acne in Dark Skin
It’s important to consider the differences in skin colour when managing acne and treating scars. Post-inflammatory hyperpigmentation (brown spots and patches) is more common in people with darker skin types than in those with lighter skin because they have more active melanocytes (brown skin cells).
In melanin-rich skin, both active acne and skin irritation from topical acne therapies can cause post-inflammatory hyperpigmentation which looks like brown spots, blemishes, or darkened areas that can be difficult to fade.
The Fitzpatrick Skin Type System was first developed in 1972 by Thomas B. Fitzpatrick. It remains a useful way to determine the degree of skin colour in terms of response to ultraviolet radiation light exposure, risk of post-inflammatory hyperpigmentation, and skin cancer risk. Please note that as soon as you add sunburn, a solar tan, or a fake tan to the mix, the Fitzpatrick Skin Type score will increase.
Experts established the Fitzpatrick skin types by asking people how their skin reacted to the sun. The results showed clear trends that allowed researchers to identify six different skin types, according to the richness in the amount of melanin in the skin.
The Fitzpatrick Skin Type System is not a proxy for racial or phenotypic features; rather it is a description of the skin by colour and is meant to standardise complexion rather than identify ethnic origin.
It’s also worth noting that not everyone’s skin will fit neatly into one of the types. The system is a guide rather than a definitive classification.
Skincare for Darker Skin Types
People with melanin-rich skin should consider the possibility of producing skin irritation into account when choosing their skincare products and treatments, because if these are too harsh or strong, this increases the risk for post-inflammatory hyperpigmentation. When beginning topical vitamin A therapy, for example, it may be beneficial to start with a lower concentration and gradually increase the frequency of application.
Laser for Darker Skin Types
Also, energy-based treatments such as laser and intense pulsed light (IPL) may either not be suitable or will need additional treatments done at lower energy settings to get the desired effect. If you have a darker skin type, professional advice can be priceless to prevent your skin from developing unwanted dark blemishes or predisposing you to burning and scarring.
