Which Fitzpatrick skin type is most likely to experience keloid scarring?

Keloid scarring is more commonly associated with individuals with darker skin tones, particularly those classified under Fitzpatrick skin types IV, V, and VI. Among these, Fitzpatrick type VI is the highest on the scale, representing very dark skin, which has more melanin. This increased melanin is thought to contribute to a greater propensity for keloid formation following any injury, whether surgical or from trauma.

Keloids are raised scars that occur when too much collagen is produced during the healing process and can extend beyond the original wound site. Individuals with type VI skin are particularly susceptible to this abnormal healing response, resulting in keloids. In contrast, lighter skin types (I, II, and III) are less likely to produce keloids, as their skin does not react as robustly to injury in terms of collagen overproduction.

Understanding the characteristics and healing responses associated with different Fitzpatrick skin types is crucial in aesthetic practices, as this knowledge allows practitioners to tailor treatments and manage potential complications effectively.