Description

A person's skin can be classified based on the color of non-sun exposed skin and how the skin responds to light exposure. The skin type has implications for the type of sunscreen required and for predicting hyperpigmentation following the use of cosmetic lasers.


 

Unexposed Skin Color

Risk of Sunburning

Response to Sun Exposure

Type

white

always

never tans

I

white

usually

tans less than average

II

white

sometimes mild

tans about average

III

white

rarely

tans more than average

IV

brown

rarely

tans profusely

V

black

never

deeply pigmented

VI

 

 

Type

Sensitivity to UV Radiation

Recommended Sunscreen SPF

I

very sensitive

>= 15

II

very sensitive

>= 15

III

sensitive

10 -15

IV

moderately sensitive

6 - 10

V

minimally sensitive

4 - 6

VI

insensitive

none indicated

(Tables 1, page 741, Pathak 1987)

 

Significance for cosmetic laser surgery:

(1) Types I, II and III are low risk patients for developing post-inflammatory hyperpigmentation following laser resurfacing procedures.

(2) Types IV, V and VI are at high risk for developing post-inflammatory hyperpigmentation following laser resurfacing procedures.

 


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