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Which Fitzpatrick skin type is generally contraindicated for laser hair removal?

  1. Type I

  2. Type II

  3. Type VI

  4. Type V

The correct answer is: Type VI

The reason Type VI skin is generally contraindicated for laser hair removal lies in its high melanin content, which increases the risk of complications during the procedure. Laser hair removal works by targeting the pigment in the hair follicles. In individuals with darker skin types like Type VI, the high level of melanin in the skin can absorb the laser energy. This increases the likelihood of adverse effects such as hyperpigmentation, burns, or textural changes in the skin following treatment. In contrast, lighter skin types (I and II) offer a greater contrast between the skin and hair pigment, making laser hair removal not only safer but also more effective. Type V skin carries some risk, but it is generally more amenable to laser procedures than Type VI, provided the right laser technology is used and proper settings are applied. Therefore, careful consideration and alternative hair removal methods may be recommended for individuals with Fitzpatrick Type VI skin.