Conditions like melasma, stubborn dark spots, keloids, eczema, acne scarring, and hidradenitis suppurativa (HS) often look and behave differently in richly pigmented skin — and are too often missed or dismissed. HS in particular disproportionately affects people of color and can go years without the right name. With a dermatologist who understands skin of color, you finally get an accurate diagnosis and a plan built for your skin.