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Fitzpatrick Skin Type Matrix

In 1975, Thomas B. Fitzpatrick, MD, PhD, of Harvard Medical School, developed a classification system for skin typing. This system was based on a person's complexion and responses to sun exposure. Today, this classification system is also used to aid practitioners in the care of their patients. For successful laser and light therapy, it is necessary to determine your correct skin type.

One of the important parameters for the success of your treatment is the correct typing of your skin. Skin type is often categorized according to the Fitzpatrick skin type scale which ranges from very fair (skin type I) to very dark (skin type VI). The two main factors that influence skin type and the treatment program devised by your doctor are:

• Genetic disposition
• Reaction to sun exposure and tanning habits

Skin type is determined genetically and is one of the many aspects of your overall appearance, which also includes color of eyes, hair, etc. The way your skin reacts to sun exposure is another important factor in correctly assessing your skin type. Recent tanning (sun bathing, artificial tanning or tanning creams) have a major impact on the evaluation of your skin color.

Genetic Disposition

Score

0

1

2

3

4

What are the color of your eyes?

Light blue, Gray, Green

Blue, Gray or Green

Blue

Dark Brown

Brownish Black

What is the natural color of your hair?

Sandy Red

Blond

Chestnut/Dark Blond

Dark Brown

Black

What is the color of your skin (non exposed areas)?

Reddish

Very Pale

Pale with Beige tint

Light Brown

Dark Brown

Do you have freckles on unexposed areas?

Many

Several

Few

Incidental

none

Total score for Genetic Disposition: ______

Reaction to Sun Exposure

Score

0

1

2

3

4

What happens when you stay in the sun too long?

Painful redness, blistering, peeling

Blistering followed by peeling

Burns sometimes followed by peeling

Rare burns

Never had burns

To What degree do you turn brown?

Hardly or not at all

Light color tan

Reasonable tan

Tan very easy

Turn dark brown quickly

Do you turn brown within several hours after sun exposure?

Never

Seldom

Sometimes

Often

Always

How does your face react to the sun?

Very sensitive

Sensitive

Normal

Very resistant

Never had a problem

Total score for Reaction to Sun Exposure: _____

Tanning Habits

Score

0

1

2

3

4

When did you last expose your body to sun (or artificial sunlamp/tanning cream)?

More than 3 months ago

2-3 months ago

1-2 months ago

Less than a month ago

Less than 2 weeks ago

Did you expose the area to be treated to the sun?

Never

Hardly ever

Sometimes

Often

Always

Total score for Tanning Habits: _____

Add up the total scores for each of the three sections for your Skin Type Score.

Skin Type Score

Fitzpatrick Skin Type

0-7

I

8-16

II

17-25

III

25-30

IV

over 30

V-VI

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