Phototypes: adapting every treatment, from light to black skin

Laser, peels, heat-based devices: the same protocol does not give the same result on light and on dark skin. What phototype changes in the treatment room, and how to keep your treatments safe.

4 min read
A row of hands and forearms in skin tones ranging from very light to very dark
Contents 5 sections
  1. 01The Fitzpatrick scale, your first tool
  2. 02What changes from one skin to another
  3. 03The technologies that depend on phototype, and the others
  4. 04Dark skin: the treatments to favour
  5. 05The right language

Phototype is not just about tanning. The amount of melanin comes with differences in the skin's structure and response, and those change how you set a laser, choose a peel or dose a heat-based device.

There are two things at stake: avoiding burns and prolonged redness on light skin, and avoiding pigmentation on dark skin. And, along the way, properly welcoming a clientele that many aesthetic professionals still do not know how to treat.

The Fitzpatrick scale, your first tool

Published in 1975, it classifies skin into six phototypes by colour and reaction to the sun, from phototype I (very light, always burns, never tans) to phototype VI (black skin, almost never burns). A simple questionnaire (freckles, how easily you tan, sunburn) plus observation is enough in the vast majority of cases. When in doubt, choose the settings for the darkest phototype and run a test.

FITZPATRICK SCALEIalways burnsIIoften burnsIIIsometimes burnsIVtans easilyVrarely burnsVIdoes not burnLight skinrisk: redness, burnsOlive to dark skinrisk: pigmentation after inflammation
The six phototypes and the main risk for each group.

What changes from one skin to another

The differences are not only cosmetic: they are functional.

Light skin (I to III)Dark skin (IV to VI)
SunBurns easilyBurns less, but pigments unevenly
After an assaultRedness, erythema, tendency to rosaceaPost-inflammatory pigmentation
BarrierThinner, loses more waterMore compact stratum corneum, prone to dryness
AgeingEarly photoageingLater, with localised loss of density
Acids and peelsWell tolerated in a gentle formulaRisk of pigmentation if the acid is too strong
Based on Fitzpatrick (1988), Alexis and Alam (2020) and Callender et al. (2020).

The technologies that depend on phototype, and the others

Every technology that uses light (lasers, intense pulsed light) is phototype-sensitive: the melanin in the skin absorbs part of the energy intended for the target. The longer the wavelength, the deeper it penetrates and the less the epidermis absorbs it.

  • 755 nm (alexandrite): fine hair on light skin.
  • 808 nm (diode): the versatile reference, with adapted settings.
  • 940 and 1064 nm: the safest on dark skin.

Radiofrequency, HIFU, cryolipolysis and EMT do not rely on light absorption by melanin: they can be used on every phototype, with the usual precautions.

Therapist performing laser hair removal on the underarms, the client wearing protective goggles

Laser

In hair removal, phototype guides everything

It determines the wavelength and the energy. On phototypes V and VI, more cautious settings often mean more sessions and longer intervals, and a prior test on a small area is essential.

With four wavelengths (755, 808, 940 and 1064 nm), the EpilPro MAX adapts every session to the phototype, from I to VI.

Dark skin: the treatments to favour

On phototypes IV to VI, treatments must be gradual, reparative and anti-inflammatory, with a preventive approach to pigmentation. Some treatments that are highly effective on light skin become irritating or pigment-inducing if not adapted: peels that are too strong or at too low a pH, abrasive techniques, poorly controlled heat, photosensitising actives without protection.

Four treatments well tolerated by every skin tone

  1. 01
    Gentle microneedling

    With non-acidic serums it refines the texture and revives radiance without assaulting the surface.

  2. 02
    Peels with gentle acids

    Mandelic acid penetrates slowly and irritates less. Peel 2.0 combines it with soothing and anti-pigment actives.

  3. 03
    LED

    Well tolerated by every phototype, it limits the inflammation that causes pigmentation.

  4. 04
    Hydro-microdermabrasion

    Non-abrasive, it cleanses, exfoliates and hydrates gently. That is the principle of the AquaPeel IV.

The right language

Personalising is not "treating differently". Drop "lightening" and "whitening": talk about evening out the complexion or bringing out radiance. Explain to your client why you are choosing a given wavelength or acid: that is what builds trust.

Being able to adapt your treatments to every skin tone is a genuine point of difference, in a market still barely trained in these specifics.

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