Accurate and precise classification/quantification of skin pigmentation is critical to address health inequities such as for example racial bias in pulse oximetry. Current skintone classification methods rely on measuring or estimating the color. These methods include a measurement device or subjective matching with skintone color scales. Robust detection of skin type and melanin index is challenging, as these methods require precise calibration. And recently acquired sun exposure may affect the measurements due to tanning or erythema. The proposed system differentiates and quantifies skin type and melanin index by exploiting the variance in skin structures and skin pigmentation network across skin types. Our result with a small study shows skin structure patterns are a robust, color independent method for skin tone classification. A real-time system demo shows the practical viability of the method.