Understanding Fitzpatrick Skin Types IV–VI

The Fitzpatrick scale is a way for dermatologists to classify skin based on its reaction to ultraviolet (UV) light. Types I–III typically burn easily and tan lightly, while Types IV–VI represent deeper skin tones that tan easily and rarely burn. The deeper melanin richness in these types makes them more resilient, but also more vulnerable to certain laser risks when not treated properly.

For individuals with Fitzpatrick IV–VI skin types, extra care must be taken with laser treatments. Incorrect laser settings can lead to undesirable outcomes like hyperpigmentation, hypopigmentation, burns, and uneven skin texture. At Nuveau, we understand the unique needs of deeper skin tones and have made it a priority to build protocols that ensure safety, precision, and optimal results—every time.

Why Customization Is Crucial

Laser technology has traditionally been developed with lighter skin tones in mind. However, as demand rises for cosmetic laser treatments across different ethnicities, it’s become clear that one-size-fits-all settings don’t work—especially on melanin-rich skin. Personalized laser protocols are no longer a luxury; they are a requirement.

At Nuveau, customization starts with a thorough consultation. Before any treatment, we assess skin condition, sensitivity, medical history, and aesthetic goals. Then, and only then, we create a plan using devices and settings proven to be safe for skin of color.

Safe Technologies for Melanin-Rich Skin

The foundation of Nuveau’s laser customization lies in our choice of technology. We prioritize devices that are designed or known to be safe for Fitzpatrick IV–VI.

Nd:YAG 1064nm Laser

This wavelength penetrates deeper into the skin, bypassing the melanin-rich epidermis and targeting deeper structures without causing surface damage. It’s especially effective for laser hair removal and vascular treatments, where depth and control matter. Because it avoids the more melanin-dense layers, there is a significantly reduced risk of pigment disruption.

Fractional Non-Ablative Lasers

For skin resurfacing and texture treatments, we use fractional lasers that do not fully remove the top layers of skin. Instead, they deliver heat in small columns to stimulate healing and collagen production. Devices like the Clear + Brilliant or fractional erbium lasers can be carefully adjusted to minimize risk while promoting smoother skin and reducing scars or pigmentation.

Key Customization Parameters

Laser treatments are highly technical, and tiny adjustments can make a big difference. Our providers at Nuveau focus on five key variables when customizing for skin of color:

• Wavelength: As noted, longer wavelengths minimize melanin absorption and decrease risk.
• Pulse Duration: By adjusting the duration each pulse of laser light lasts, we control how energy is absorbed. Longer pulse durations are gentler on melanin-rich skin.
• Fluence (Energy Level): Lower fluence levels help us reduce thermal injury.
• Spot Size: Larger spot sizes allow deeper penetration with less surface overheating.
• Cooling Mechanisms: Contact cooling, cryogen sprays, and air-zimmer devices are used to protect the epidermis during treatment.

These parameters work together to create treatments that are not just safer—but also more effective.

The Importance of Provider Expertise

Even the best machines are only as good as the person using them. At Nuveau, our providers undergo in-depth training on laser use in all skin types, with special modules focused on skin types IV–VI. By combining science with clinical experience, our team consistently delivers treatments that enhance skin health without compromising safety.

We also take a conservative approach. For patients with deeper skin tones, we often begin with gentler settings in initial sessions. This allows us to observe how your skin responds and make informed adjustments to protocols as treatment progresses.

Popular Treatments Tailored for Fitzpatrick IV–VI

At Nuveau, we offer a wide range of laser services that are customized for deeper skin tones:

Laser Hair Removal

Using Nd:YAG technology, we effectively and safely remove unwanted hair while minimizing risks of burns or pigmentation. This laser’s depth makes it ideal for coarser hair typically found in patients with darker skin.

Skin Rejuvenation

For tone, clarity, and texture improvements, fractional non-ablative lasers are selectively used. These treatments promote smoother, brighter skin while carefully protecting the outer layers of melanin-rich skin.

Acne Scar & Pigmentation Treatment

Treating scars or dark spots involves a strategic combination of low-energy laser treatments and supportive therapies like chemical peels or topical agents. The result is fewer breakouts and more even skin tone.

Post-Treatment Care for Skin of Color

After your customized laser session, post-treatment care becomes essential. At Nuveau, we provide detailed instructions and curated skincare to encourage healing and reduce inflammation. This includes:

• Sun Protection: Daily broad-spectrum SPF to protect against UV-induced pigment changes.
• Hydration: Moisturizers to support the skin barrier.
• Calming Agents: Products with niacinamide, aloe, and antioxidants to soothe and protect.

Our team also schedules follow-ups to monitor your progress and make any adjustments if needed.

A Commitment to Inclusive Beauty

At Nuveau, we believe that skincare should be inclusive. Personalization is not just about results—it’s about respect. Every skin tone deserves the same attention to detail, safety, and artistry.

We continuously research advances in treating darker skin types and invest in the best technology and training so that all our patients feel seen, heard, and beautifully cared for.

Book Your Consultation Today

If you have melanin-rich skin and have hesitated to try laser treatments, Nuveau is ready to guide you safely to clear, radiant results. Don’t settle for cookie-cutter treatments. Book your personalized laser consultation today and experience the Nuveau difference in skin of color care.