In those patients prone to PIH, or post-inflammatory hyperpigmentation, even a needle puncture can pose a problem.
Since different injectables require differently gauged needles, anyone with a history of PIH may be better off sticking to formulas injected with thinner needles, such as hyaluronic acid fillers like Juvéderm and Restylane.
Patients with darker skin may also see better results with clear hyaluronic acid fillers, which won’t alter skin tone, especially when placed in areas of thinner skin, like under the eyes.
Darker skin is also more prone to dynamic wrinkles (those caused by facial expressions), which makes Botox a great choice.
If a patient is prone to noticeable scarring, they should avoid injectables such as Sculptra and Radiesse, which require larger needles.
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