Treating African-American skin can be one of the trickiest skin problems to encounter for skin care professionals. As you can see in the before picture, this client needed really aggressive peels and home care in order to get the acne and the resulting severe hyperpigmentation under control. However, we needed to be extremely careful not to make her pigmentation worse.
The darker the skin is, the more “active” the melanocytes are. These are the cells in the dermis that create pigment. They are just waiting for any kind of stimulation in the way of picking, rubbing, heat, acne, or just about anything to form more pigment. So, in treating this color of skin, we had to be extremely careful to go very slowly in getting her skin used to products.