For dark african or african american skin, is photorejuvenation (IPL) a good idea?
In general, the answer to this is no! Photorejuventation excels at removing/reducing red spots, blotches and dilated veins/capillaries and in most darker skin types, this type of redness isn’t a problem (good thing!).
Photorejvenation also excels at removing brown spots that are fairly superficial and related to sun damage – think light to medium freckles (lentigines). Also not usually a problem in darker skin types. Other reader questions and answers on this.
If the pigment problem is deeper – as in melasma – photorejuvenation can make this type of pigment worse. Also, in some darker skin types the brown spots are small and slightly raised. If you can feel a small bump when you run your finger over a brown spot, the IPL will generally not be effective. This may be a condition called stucco keratoses so ask your doctor. These can removed by a different method by an expereinced dermatologist, if needed.
Hope this helps, Dr. I