TrueSkin: Towards Fair and Accurate Skin Tone Recognition and Generation
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Abstract (arXiv)
Skin tone recognition and generation play important roles in model fairness, healthcare, and generative AI, yet they remain challenging due to the lack of comprehensive datasets and robust methodologies. Compared to other human image analysis tasks, state-of-the-art large multimodal models (LMMs) and image generation models struggle to recognize and synthesize skin tones accurately. To address this, we introduce TrueSkin, a dataset with 7299 images systematically categorized into 6 classes, collected under diverse lighting conditions, camera angles, and capture settings. Using TrueSkin, we benchmark existing recognition and generation approaches, revealing substantial biases: LMMs tend to misclassify intermediate skin tones as lighter ones, whereas generative models struggle to accurately produce specified skin tones when influenced by inherent biases from unrelated attributes in the prompts, such as hairstyle or environmental context. We further demonstrate that training a recognition model on TrueSkin improves classification accuracy by more than 20% compared to LMMs and conventional approaches, and fine-tuning with TrueSkin significantly improves skin tone fidelity in image generation models. Our findings highlight the need for comprehensive datasets like TrueSkin, which not only serves as a benchmark for evaluating existing models but also provides a valuable training resource to enhance fairness and accuracy in skin tone recognition and generation tasks.
Key facts. Cited by 2 papers in the map (data through 14 Oct 2026). Builds on 24 of its 56 references that are in the map. First posted on arXiv 13 Sep 2025.
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24 of 56 references.
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12 more
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Citing papers per year: 2025: 1; 2026: 1.
2 papers.
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- 2026A Generative AI Approach for Reducing Skin Tone Bias in Skin Cancer Classification
- 2025Adapting Large Language Models to Mitigate Skin Tone Biases in Clinical Dermatology Tasks: A Mixed-Methods Study
- 2022Detecting Melanoma Fairly: Skin Tone Detection and Debiasing for Skin Lesion Classification
- 2025Skin Color Measurement from Dermatoscopic Images: An Evaluation on a Synthetic Dataset
- 2025Bias Amplification in Stable Diffusion's Representation of Stigma Through Skin Tones and Their Homogeneity
- 2024INFELM: In-depth Fairness Evaluation of Large Text-To-Image Models
- 2024SkinGEN: an Explainable Dermatology Diagnosis-to-Generation Framework with Interactive Vision-Language Models
- 2022Improving dermatology classifiers across populations using images generated by large diffusion models