Fitzpatrick skin type scale is a guide on how scars can present on different skin types

Fitzpatrick Scale:

This scale classifies skin into six types, from very pale (Type I) to very dark (Type VI), based on their tendency to burn or tan in the sun. 

The six Fitzpatrick skin types:

·       Type I:

Always burns, never tans. Typically, very fair skin, blue/green eyes, and red/blonde hair. 

·       Type II:

Burns easily, tans poorly. Fair skin, blue/green/brown eyes, and blonde/brown hair. 

·       Type III:

Burns moderately, tans gradually. Fair to olive skin, brown eyes, and brown hair. 

·       Type IV:

Burns minimally, tans easily. Light brown skin, brown eyes, and dark brown hair. 

·       Type V:

Rarely burns, tans deeply. Brown skin, dark brown eyes, and black hair. 

·       Type VI:

Never burns, always tans deeply. Dark brown to black skin, dark brown eyes, and black hair. 

Why is the Fitzpatrick scale important?

Sun protection:

Helps determine the appropriate SPF for sunscreen and advises on sun avoidance. 

Risk assessment:

Identifies individuals at higher risk for sun damage, including skin cancer. 

Treatment planning:

It is used it to determine safe and effective treatments like laser therapy or chemical peels. 

The Fitzpatrick Skin Type scale, which categorises skin based on its reaction to sun exposure, is relevant to scar formation because darker skin types (V and VI) are more prone to developing abnormal scars like keloids and experiencing hyperpigmentation changes. This is due to the higher melanin content in these skin types, which can lead to more pronounced scarring and pigmentation issues.  

Melanin and Scarring:

Melanin is the pigment that gives skin its colour and provides some protection against UV radiation. Higher Fitzpatrick types (V and VI) have more melanin, which can lead to more noticeable scarring and pigmentation changes after injury or inflammation. 

Risk of Abnormal Scars:

People with darker skin (Types V and VI) are at a higher risk of developing keloid scars (raised, overgrown scars) and experiencing hyperpigmentation (darkening of the skin) or hypopigmentation (lightening of the skin) around the scar. 

Other Factors:

While the Fitzpatrick scale is a useful guide, other factors like genetics, immune status, and the location and depth of the wound can also influence scar formation. 

Importance of Sun Protection:

Regardless of skin type, protecting scars from sun exposure is crucial, especially in the initial healing stages. Sunscreen and protective clothing can help minimize hyperpigmentation and promote better scar healing

Understanding your Fitzpatrick skin type can help you anticipate potential scarring issues and take appropriate preventive measures. 

A consultation is recommended:

If you are considering having a tattoo on and or around a scar, we recommend firstly having a tattoo consultation with us. It is extremely important we see the type of scar in person, this way we can advise which designs would be most suitable, how the healed tattoo will look and it is even possible to have a tattoo in the area.