Key Points:

  • Skin tone can change and should be reassessed at every visit.
  • Recently tanned skin should not be treated. The skin must return to baseline first.
  • If there is post-inflammatory hyperpigmentation, treat that area more conservatively.
  • If there is self-tanner, do not treat until it is removed.
  • When in doubt, move more conservative or delay treatment.
  • Wavelength selection is based on how energy moves through the skin, not preference.