Cosmetic laser and energy-based body-contouring procedures are increasingly sought by individuals with skin of color (SOC). This review outlines current evidence and clinical experience surrounding laser treatments for dermatosis papulosa nigra, acne scars, photoaging, and hyperpigmentation, as well as nonsurgical fat-reduction techniques. Nonablative fractional (NAF) lasers and 1064-nm Nd:YAG devices demonstrate favorable safety profiles in SOC when appropriately applied. Postprocedural photoprotection and the use of topical melanogenesis inhibitors are key to minimizing pigmentary complications. Although early data support the use of ultrasound, radiofrequency, and magnetic-based contouring in SOC, more robust studies are needed. This review aims to guide clinicians in optimizing outcomes and minimizing risks for patients with darker skin types undergoing cosmetic procedures.