The incidence of cutaneous adverse effects after laser hair removal is both patient and laser parameter related. Patients with darker-colored skin, especially skin types V and VI, are more likely to experience cutaneous adverse effects, related to the abundance of melanin in their epidermis. However, such complications are not limited to patients with genetically determined dark skin. This may also be seen in patients with darker skin due to other reasons, such as sun-tanning and lentiginous photoaging. The incidence of adverse effects will be modified by utilized wavelength, fluence, pulse duration, and associated cooling.
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