The Real Skin Edition

Although general skin tone color may provide a good prediction about the potential for hyperreaction to lasers, we also use a simple, yet effective additional screen in the office: palmar and digital crease pigmentation.

First described by Hector G. Leal-Silva MD of the Institute of Dermatology and Cosmetic Surgery, Monterrey, Mexico, the screen divides patients into four groups, depending on the concentration of pigment present in their palmar creases (Figures 1).

The palmar and digital crease color hue is a way to predict the propensity of various Fitzpatrick phototypes to experience postinflammatory hyperpigmentation.
The scale ranges from 0 to 3, with the highest number indicating a darker skin tissue response despite skin phototype.

In general, a provider must be cognizant of their patients with mixed color tone in order to properly consult and discuss realistic expectations as well of potential risks.

J Cosmet Dermatol. 2021 Apr;20(4):1263-1270. doi: 10.1111/jocd.13968. Epub 2021 Feb 15.

Read the full article here: https://jddonline.com/articles/cosmetic-laser-procedures-in-latin-skin-S1545961619S0127X/?_page=2

🚨 Safety Alert! 🚨 The CDC is investigating HIV infections linked to unlicensed PRP microneedling facials at a New Mexico spa. This highlights the critical importance of ensuring your medspa is licensed and follows strict infection control practices. Always choose reputable providers for your treatments to protect your health! 🌟

Read the full CDC investigation here: https://www.cdc.gov/mmwr/volumes/73/wr/mm7316a3.htm?s_cid=mm7316a3_w