Download PDF
Facial Plast Surg 2023; 39(05): 496-500
DOI: 10.1055/s-0043-1772197
Original Article

Cosmetic Treatments with Energy-Based Devices in Skin of Color

Janet Ren Chao
1   Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut
,
Jennifer Parker Porter
2   Department of Otolaryngology–Head and Neck Surgery, Georgetown University Medical Center, Washington, District of Columbia
3   Chevy Chase Facial Plastic Surgery, Bethesda, Maryland
,
Jill Hessler
4   Hessler Plastic Surgery, Palo Alto, California
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

The use of energy-based devices in cosmetic treatments for patients with higher Fitzpatrick skin types is a topic of concern due to the increased risk of complications such as hyperpigmentation and scarring. Advancements in technology have enabled the development of safe and effective energy-based modalities for improving skin tone, texture, and signs of aging in patients with higher Fitzpatrick skin types. This article reviews various modalities that have shown positive outcomes in Fitzpatrick skin types 4 to 6.

Radiofrequency (RF) skin tightening devices have emerged as a noninvasive method for improving skin laxity by stimulating collagen and elastin production without generating excessive heat, making them suitable for darker skin tones. Microfocused ultrasound (MFUS) is another noninvasive option for skin tightening and lifting. By producing thermal coagulation in the deeper layers of the skin, MFUS stimulates collagen production, resulting in improved skin tightness. Fractional laser resurfacing, both ablative and nonablative, offers effective treatment options for various concerns such as acne scars, skin texture, and dyspigmentation. Nonablative fractional lasers, which target water rather than melanin, are particularly safer for darker skin types. Broadband light devices that emit different wavelengths have shown success in skin rejuvenation, improving wrinkles, pore size, erythema, telangiectasias, and dyspigmentation. Additionally, RF microneedling combines the benefits of both modalities, delivering safe treatment for skin laxity and textural concerns. The short-pulse neodymium-doped yttrium aluminum garnet (Nd:YAG) laser has become a transformative tool for patients with Fitzpatrick skin types 4 to 6. This laser targets melanin, hemoglobin, and water, providing improvements in hyperpigmentation, acne, fine lines, and scar texture. Combining the short-pulse Nd:YAG laser with other treatments like chemical peels or microneedling has shown synergistic effects and enhanced outcomes. Understanding these modalities and tailoring treatments to specific concerns is crucial for safe and effective solutions in patients with higher Fitzpatrick skin types.

Keywords

energy-based devices - Fitzpatrick skin types - skin of color - hyperpigmentation - skin rejuvenation


Publication History

Article published online:
09 August 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Alexis AF. Lasers and light-based therapies in ethnic skin: treatment options and recommendations for Fitzpatrick skin types V and VI. Br J Dermatol 2013; 169 (Suppl. 03) 91-97
    CrossrefPubMedGoogle Scholar
  • 2 Battle Jr EF, Soden Jr CE. The use of lasers in darker skin types. Semin Cutan Med Surg 2009; 28 (02) 130-140
    CrossrefPubMedGoogle Scholar
  • 3 Anvery N, Christensen RE, Dirr MA. Management of post-inflammatory hyperpigmentation in skin of color: a short review. J Cosmet Dermatol 2022; 21 (05) 1837-1840
    CrossrefPubMedGoogle Scholar
  • 4 Syder NC, Chen A, Elbuluk N. Radiofrequency and radiofrequency microneedling in skin of color: a review of usage, safety, and efficacy. Dermatol Surg 2023; 49 (05) 489-493
    CrossrefPubMedGoogle Scholar
  • 5 Fabi SG. Noninvasive skin tightening: focus on new ultrasound techniques. Clin Cosmet Investig Dermatol 2015; 8: 47-52
    CrossrefPubMedGoogle Scholar
  • 6 Fabi SG, Goldman MP. Retrospective evaluation of micro-focused ultrasound for lifting and tightening the face and neck. Dermatol Surg 2014; 40 (05) 569-575
    CrossrefPubMedGoogle Scholar
  • 7 Kaushik SB, Alexis AF. Nonablative fractional laser resurfacing in skin of color: evidence-based review. J Clin Aesthet Dermatol 2017; 10 (06) 51-67
    PubMedGoogle Scholar
  • 8 In S, Park H, Song H, Park J, Kim H, Cho SB. Broadband light treatment using static operation and constant motion techniques for skin tightening in Asian patients. J Cosmet Laser Ther 2019; 21 (03) 132-137
    CrossrefPubMedGoogle Scholar
  • 9 Roberts WE, Henry M, Burgess C, Saedi N, Chilukuri S, Campbell-Chambers DA. Laser treatment of skin of color for medical and aesthetic uses with a new 650-microsecond Nd:YAG 1064 nm laser. J Drugs Dermatol 2019; 18 (04) s135-s137
    PubMedGoogle Scholar
  • 10 Burgess C, Chilukuri S, Campbell-Chambers DA, Henry M, Saedi N, Roberts WE. Practical applications for medical and aesthetic treatment of skin of color with a new 650-microsecond laser. J Drugs Dermatol 2019; 18 (04) s138-s143
    PubMedGoogle Scholar