[Aspects of esthetic dermatology on skin of color].

Skin of Fitzpatrick types IV-VI has a physiology and pathophysiology that is different from lighter skin in some aspects. This entails specific reaction patterns and thus special requirements with regard to diagnostics and therapy. In all medical interventions, the risk of color shifts and the tendency to form hypertrophic scars and keloids should be considered. In addition, culture-related characteristics such as the desire for lighter skin or straight hair must be taken into account.