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What Perfect B’s Protocol Looks Like for Fitzpatrick IV and V Patients For Fitzpatrick IV and V patients at our Doral clinic, we make three standard adjustments from our baseline protocol: we select the 1064nm wavelength as the primary treatment channel, we reduce fluence settings to deliver therapeutic energy to the ink while minimizing thermal load on the surrounding dermis, and we extend the interval between sessions to allow conservative healing and prevent cumulative inflammation