Lasers work by targeting a specific chromophore in the skin. Which one — and whether that is safe for your skin tone — is the entire clinical question.
A laser emits a single wavelength of light chosen to be absorbed by a specific target in the skin — a chromophore. The three that matter are melanin (pigment), haemoglobin (blood vessels) and water (used in resurfacing).
The light energy converts to heat at the target, destroying it while leaving surrounding tissue relatively unharmed. That selectivity is what makes laser powerful — and it is also exactly where the risk comes from.
Many lasers target melanin. In lighter skin, melanin is concentrated in the lesion being treated, so energy goes where intended. In deeper skin tones, melanin is distributed throughout the epidermis — so the laser cannot distinguish the target from the surrounding skin, and energy is absorbed broadly.
The consequences are real: burns, post-inflammatory hyperpigmentation that can persist for many months, and hypopigmentation — permanent loss of pigment leaving pale patches — which is sometimes irreversible.
This is why Fitzpatrick skin typing is not a formality. For Fitzpatrick IV–VI skin, many common devices are inappropriate, and safer alternatives usually exist:
Wherever you are considering treatment, these questions matter.
We will tell you plainly when a laser is not the right tool for your skin, and recommend an alternative rather than treating you with something carrying avoidable risk. We would rather you left with a different plan than a pigment complication that takes a year to resolve.
Filler is not a commodity procedure. Where product sits relative to bone, muscle, and vasculature decides whether a result looks refreshed or overdone. At Modern Aesthetica the founder and medical director, Dr. Daniel Moghadam, performs the injections himself rather than delegating to a technician.
We do not begin with a product. We begin with what is actually happening in your face — where volume has gone, how your skin behaves when it moves, how light falls across your cheekbones. The right filler follows from that. Sometimes the answer is a different treatment entirely, and we will say so.
We would rather place less and refine at your follow-up than overfill. Hyaluronic acid fillers can be dissolved if needed, but a face that has been overcorrected takes real time to recover its proportions.
Fillers are priced per syringe. You will know how many syringes are planned and what the total is before anything is injected. Current offers are on our promotions page.
It depends entirely on the device and the settings. Many lasers target melanin, and in deeper skin tones melanin is spread throughout the epidermis rather than concentrated in the target — so energy is absorbed broadly, risking burns, prolonged hyperpigmentation, or permanent loss of pigment. For Fitzpatrick IV–VI skin, RF microneedling and PRP are frequently safer choices for the same concerns.
Darkening of the skin following inflammation or injury, including from an overly aggressive laser treatment. It appears as dark patches that can take many months to fade. It is considerably more common in deeper skin tones, which is why device selection and conservative settings matter so much.
A classification from I to VI describing how skin responds to sun exposure, based on constitutive pigment. It is the primary factor determining which laser settings are safe for you. Any provider using a laser on you should be able to state your type and explain why the chosen device suits it.
For deeper skin tones, yes — it should be standard practice. A small test area treated a couple of weeks ahead reveals how your skin responds before committing to a full treatment. Any reluctance to do this would be a reason for caution.
No, and this is important. Treating recently tanned skin substantially increases the risk of burns and pigment change, because there is more melanin in the epidermis to absorb the energy. You should avoid sun exposure and self-tanner for several weeks before treatment.
Yes. Several medications increase photosensitivity, including some antibiotics, retinoids and others. Recent isotretinoin use is a particular consideration for resurfacing procedures. Bring a complete list of everything you take, including supplements.
It depends on the concern and your skin type. For texture, acne scarring and mild laxity — particularly in deeper skin tones — RF microneedling is frequently the better and safer choice, since the energy is delivered below the surface and does not target pigment. Laser has advantages for certain vascular and pigmented lesions in appropriate skin types.
Yes, and we do so regularly. We would rather recommend a different treatment than proceed with something carrying avoidable risk for your skin type.
Patients come to our Beverly Hills office for laser treatment from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
Laser is superb for some concerns and genuinely risky for some skin types. The consultation establishes which applies to you.