Rejuvenation of the African American Periorbital Area: Dynamic Considerations

Few, Jr. Julius W.

doi:10.1055/s-0029-1224799

Cited by 10 publications

(3 citation statements)

References 15 publications

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“…Avoidance of suture scars requires careful suture selection, especially in African American patients. For example, the use of prolene suture as a mechanism to avoid suture scars in African American patients undergoing periorbital surgery has been described 27 . As such, scar scales that incorporate suture scar assessment may guide the optimisation of cosmetic surgery in dark‐skinned individuals.…”

Section: Resultsmentioning

confidence: 99%

“…For example, the use of prolene suture as a mechanism to avoid suture scars in African American patients undergoing periorbital surgery has been described. 27 As such, scar scales that incorporate suture scar assessment may guide the optimisation of cosmetic surgery in dark-skinned individuals. However, the Fitzpatrick level and race/ethnicity of the SBSES validation studies were not reported.…”

Section: Stony Brook Scar Evaluation Scalementioning

confidence: 99%

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Evaluating skin colour diversity in the validation of scar assessment tools

Garg,

Williams,

Taritsa

et al. 2023

Wound Repair Regeneration

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Across scar studies, there is a lack of dark‐skinned individuals, who have a predisposition for keloid formation, altered pigmentation, and poorer quality‐of‐life. There is a need for patients‐of‐color to be included in scar scale development and validation. In this study, we evaluate the racial diversity of patients included in the validation of scar assessment scales. A systematic review was conducted for articles reporting on the validation of a scar assessment tool. Racial, ethnic, and Fitzpatrick skin type(FST) data was extracted. Fifteen scar scale validation studies were included. Nine of the studies did not mention FST, race, or ethnicity of the patients. Two of the studies that reported FST or race information only included White patients or included no FST V/VI patients: MAPS and UNC4P. Only four studies included non‐white patients or dark‐skinned patients in the validation of their scar scale: the modified Vancouver Scar Scale, Modified POSAS, Acne QOL, and SCAR‐Q scales. The patients included in the modified VSS validation were 7 and 13% FST V/VI, 14% African in the modified POSAS, and 4.5% FST V/VI in the SCAR‐Q. We highlight the severe lack of diversity in scar scale validation, with only 4 out of 15 studies including dark‐skinned patients. Given the susceptibility of darker‐skinned individuals to have poorer scarring outcomes, it is critical to include patients‐of‐color in the very assessment tools that determine their scar prognosis. Inclusion of patients‐of‐color in scar scale development will improve scar assessment and clinical decision‐making.This article is protected by copyright. All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Section: Stony Brook Scar Evaluation Scalementioning

confidence: 99%

Evaluating skin colour diversity in the validation of scar assessment tools

Garg,

Williams,

Taritsa

et al. 2023

Wound Repair Regeneration

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“…20 Few reports that 6-0 nylon leaves virtually no track marks in skin of color. 21 To further reduce track marks, a running subcuticular suture with polypropylene is preferred to a simple running whenever possible.…”

Section: Suture Selection In Skin Of Colormentioning

confidence: 99%

Mohs Micrographic Surgery in Skin of Color

Williams¹,

Ciocon²

2022

JDD

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The United States population is becoming increasingly diverse. Data show increased utilization of Mohs micrographic surgery (MMS) in people of color. Though the incidence of skin cancer in skin of color is low, morbidity and mortality are disproportionately high. Still, published literature on the topic is lacking. In this article, we outline our approach to MMS in skin of color. We review salient topics not published elsewhere in literature in this context, including post-operative postinflammatory hyperpigmentation and suture selection in skin of color. Our goal is to better equip dermatologic surgeons for the rapidly changing demographics of our patient population. We feel this is an important step in addressing the dire health disparities associated with skin cancer in skin of color.

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Dermatologic Surgery in Ethnic Skin

Sachdev

Shilpakar

2012

Dermatologic Surgery

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Rejuvenation of the African American Periorbital Area: Dynamic Considerations

Cited by 10 publications

References 15 publications

Evaluating skin colour diversity in the validation of scar assessment tools

Evaluating skin colour diversity in the validation of scar assessment tools

Mohs Micrographic Surgery in Skin of Color

Dermatologic Surgery in Ethnic Skin

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