Differences in Perceptions of Beauty and Cosmetic Procedures Performed in Ethnic Patients

Abstract

The United States has become progressively more multicultural, with the ethnic population growing at record rates. The US Census Bureau projects that, by the year 2056, greater than 50% of the US population will be of non-Caucasian descent. Ethnic patients have different cosmetic concerns and natural features that are unique. The cosmetic concerns of ethnic patients also differ as the result of differences in skin pathophysiology, mechanisms of aging, and unique anatomic structure. There is no longer a single standard of beauty. We must now adapt to the more diverse population and understand how to accommodate the diversity of beauty in the United States. Ethnic patients do not necessarily want a Westernized look because what constitutes beauty is determined by racial, cultural, and environmental influences. We as leaders in skin care must understand these differences and adapt our practices accordingly. This article will focus on the differences in aging in different ethnic populations and highlight procedures unique to skin of color.

Characteristics and management of Asian skin

“…We can cite the following as common characteristics of all of them: a round face, full upper lip, high eyebrow, low nasal bridge, increased intercanthal distance, short palpebral fissure, and increased malar fat . Approximately 50% of Asians show a diminished or absent superior palpebral fold . Koreans who live in the U.S.A. show, in general, a wider mandibular angle and lower face …”

“…Approximately 50% of Asians show a diminished or absent superior palpebral fold . Koreans who live in the U.S.A. show, in general, a wider mandibular angle and lower face …”

“…Other characteristics of Asians are a wider intercanthal distance, short palpebral fissure, broad prominent forehead, and the absence of a supratarsal crease . Koreans also have a wider mandibular angle and a wider lower face with a recessed chin …”

Skin of color

“…2 The major impetus behind this movement is the current population shifts. 5 There is no longer one standard of beauty, and healthcare providers need to adapt to the diverse population and understand how to accommodate the needs of the patient. 3 For healthcare (dermatology in particular), culturally competent care and population realities will require a development of understanding and skill sets needed to manage ethnic skin, skin of color, or individuals whose skin is classifi ed as IV, V, or VI on the Fitzpatrick Skin Phototype scale, defi ned as sun insensitive skin, uncommonly burns, and contains high pigmentation.…”

“…5 The incidence of severe sunburns, the prevalence of rosacea, actinic keratosis, and skin cancers are higher in Whites. The scale states that an individual can either "always burn" or "tan slowly."…”