Usually lasers and IPL systems can be used safely in this circumstance.  The key is for the nurse, PA-C or doctor to do several test areas on your face before treating the entire face.  Usually a pulse or two are placed on the lateral cheek with several different energies being used.  The spots are then observed for a few minutes before deciding which energy would be the best.  That way the energy can be adjusted up or down as needed for you as an individual.  Hope this helps!  Dr. I