Understanding how skin responds to UVR exposure has high priority in the skin treatment professions today as is the correct terminology that enables us all to communicate at one level. For example how would you accurately classify skin’s with readings of 23-25 or 32 to 35 on a conventional Fitzpatrick scale? The diagram below illustrates the relationship. In fact, some Skins that would normally be classified as one Fitzpatrick type could have fitted in to 9-sub tones according to the measurement scale. One of the reasons I did not allocate skin’s that I was analysing in to one of the 6 Fitzpatrick categories was that my skin diagnostic devices that measure melanin density in the skin were telling me that there were more variables in tone to allocate to a single type. This Photo Type Scale would be similar to the original von Luschan’s scale of 36 tones, but not so extensive. Therefore, because there are light and dark skin tones within each of the original Fitzpatrick Skin Type Scale, I have always recommended that each of the 6 types used in the scale is further broken down into a low, medium and high in order to add a higher resolution, or accuracy. I use the very large continent India as a perfect example of this phenomenon. The closer to the equator, the darker the skin tone and when moving further north or away from the equator, the skin tone becomes lighter. Nor did it indicate the risk for skin cancer or post inflammatory hyperpigmentation.ĭifferences in each tone of skin colour can be seen more obviously in the Fitzpatrick Skin Type Scale of 4 to 6, and those differences associated with the genetics of hemisphere. Nowadays there are many misunderstandings with the term ‘skin type’ used today those of you trained in the Pastiche Method of skin analysis were taught that ‘skin type’ is a reference to the intrinsic skin groups of lipid dry, oily and diffused redness.įor others, the term ‘skin type’ often still refers to the original Fitzpatrick classification of skin colour and today older medical professionals still make the reference of Fitzpatrick skin type or just skin type.ĭuring the 1990’s the use of the Fitzpatrick Skin Type Scale was revised however although the Scale was a good reference for the skins burn time, it did not give any indication of the skins ability to accumulate melanin and change colour (tan). However, that been said, the Fitzpatrick Skin Type Scale has been used ever since by the medical and cosmetic industries. There was a controversy at the time that the Fitzpatrick Skin Type Scale was published in 1975 because still at that time there were light and dark skin tones within each race and the scale was considered too narrow to be useful.
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