I am an African American with a darker skin tone. I have uneven pigmentation around my face and neck and would like to know if a chemical peel or dermabrasion procedure would work as well on me as it would for a lighter skinned person.

For darker skin patients, dermabrasion is usually not advised because it has a possibility of hyperpigmentation or if done inappropriately, hypopimentation. It may be possible that very light chemical peels can be performed. It would be important to see the patient in person to make individualized treatment plans.