Which Fitzpatrick skin type is more likely to develop keloid scarring?

The Fitzpatrick skin type that is more likely to develop keloid scarring is type VI. This skin type encompasses individuals with very dark skin, who often have more melanin in their skin. The increased melanin can result in thicker dermis and a higher propensity for scarring compared to lighter skin types.

Keloid scars occur when the body produces an overabundance of collagen during the healing process after an injury or trauma to the skin. Individuals with Fitzpatrick type VI skin are generally more prone to this abnormal healing process due to genetic factors associated with darker skin.

In contrast, other skin types typically exhibit different healing responses. For instance, type I skin (often very fair with blonde or red hair and light-colored eyes) tends to burn rather than tan and is not as prone to keloid formation. Meanwhile, type III and IV skin types have varying risks based on their melanin levels and scar formation characteristics but do not reach the same predisposition seen in type VI. Hence, individuals classified under Fitzpatrick type VI are at a higher risk for developing keloid scars due to their unique skin structure and healing responses.