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More
than 35% of the U.S.
is comprised of non-Caucasians. This includes
Hispanics, African-Americans, Asians, and Native Americans.
There are several different methods of classifying these
different skin types, but the most common is the Fitzpatrick
Photo type. The Fitzpatrick method takes into account
not only the color of unexposed skin, but also sensitivity
to light and sunburn and tanning history. More
elaborate Fitzpatrick scales also take into account presence
of freckles, hair and eye color. The following chart
is a good guide regardless of race for the purpose of laser
hair removal.

The reason that certain races have darker skin
colors is due to the fact that melanosomes are larger and
show a higher degree of melanization. There is
also a greater production of melanosomes in melanocytes and
a higher degree of dispersion in the keratinocytes.
There is also a slower rate of degradation. These
factors are usually dependent on heredity and racial
factors. The combination of these factors can be the
reason we see varied skin tones among the same race.
In terms of laser hair removal, darker skin types will need
longer wavelengths for better safety. Longer
wavelength lasers such as the Nd: YAG mean less scatter in
skin and deeper penetrations. The hair bulb can be as
low as 7mm in depth. These lasers target deeper hair
very effectively, but are not as effective for the finer,
closer to the surface hair. Melanin is found in the
hair bulb, shaft, outer root sheath, and also the
dermal-epidermal junction. Today's lasers
user the Fitzpatrick scale to describe their variances.
For example, ruby lasers are considered limited in use
because they only are able to safely treat Fitzpatrick skin
types I and II. Alexandrite and diode lasers are
considered more useful because they can treat type’s I-V.
Nd: YAG lasers.an
treat all skin types, but are not as effective with finer
hairs.
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