Dermatology has made remarkable progress over the years, but when it comes to skin of color, gaps in care still remain. Patients with darker skin tones often face unique challenges that can complicate both diagnosis and treatment. Unfortunately, traditional medical training and dermatology textbooks have not always reflected the full spectrum of skin tones, leading to disparities in care.

One of the biggest challenges is that many common skin conditions do not look the same on darker skin as they do on lighter complexions. For example, inflammatory conditions like eczema, psoriasis or allergic rashes often appear purple, gray or dark brown on richly pigmented skin rather than the red or pink typically shown in medical training. Because of this, conditions may go unrecognized or be diagnosed late, which can delay effective treatment. Even acne can pose a unique challenge for patients with skin of color, not only because of the breakouts themselves but because of the dark spots, called post-inflammatory hyperpigmentation, that often linger long after pimples heal. For many, these marks can be more frustrating than the acne itself.

Certain treatments also carry higher risks for patients with darker skin tones if they are not performed correctly. Laser therapies, chemical peels and even some topical medications can sometimes worsen pigmentation issues or increase the risk of scarring if not chosen carefully. This does not mean patients should avoid these treatments, but rather that they need a dermatologist with the knowledge and experience to adjust settings and select products that are safe and effective for all skin types.

The good news is that awareness in the dermatology community is growing. Training programs are beginning to include more diverse skin images and dermatologists are paying closer attention to tailoring treatments for skin of color. Social media and digital platforms have also amplified patient voices, bringing more attention to the importance of representation in medical care. By focusing on inclusive education and research, the field of dermatology is moving toward a future where every patient feels seen and understood.

If you have skin of color, there are also steps you can take to advocate for yourself during appointments. Asking your dermatologist about their experience treating patients with a variety of skin tones is a good start. You can also discuss your concerns about pigmentation, scarring or hair disorders, since these issues often present differently in melanin-rich skin. The right provider will welcome your questions and work with you to create a treatment plan that addresses your needs with precision and care.

Every patient deserves equitable care, and closing the gaps in dermatology is essential for building trust, improving outcomes and ensuring that everyone receives the attention they deserve. The future of dermatology lies in recognizing that one size does not fit all, and that expertise means understanding the unique features of every skin tone.

For compassionate, personalized dermatology care that takes your skin’s needs seriously, contact THE CENTER for Advanced Dermatology today at 602-867-7546 or visit WEBSITE to schedule your consultation.