African Americans Show Facial Aging In Eyes Earlier Than Caucasians

I recently came across an article I found interesting – which is why it is now appearing on my blog. The article, published in March's Plastic and Reconstructive Surgery® (PRS), the official medical journal of the American Society of Plastic Surgeons (ASPS), explains the value of paying particular attention to ethic characteristics. It states: While it is no secret African Americans' skin may keep its youthful appearance longer than other ethnicities, many people don't know African Americans show facial aging in the outer corner of the eyes earlier than Caucasians and this requires extra attention to maintain their ethnic integrity.

"African Americans have a slight slant to their eyes, much like Asians do but not as pronounced," said Julius Few, MD, ASPS Member Surgeon and study co-author. "During aging, we found not only do the outer corners of the eyes of African Americans droop lower than Caucasians, they also droop sooner."

In the study, the median eye slant for African American women aged 45 years or younger was 3 degrees and decreased to 1 degree for those older than 45. The median eye slant in Caucasian women aged 45 years or younger was 1.3 degrees and decreased to 0 for those older than 45. While the forehead and eyebrow areas of Caucasian women tend to drop a decade earlier than African American women, the aging effects to the outer corner of the eye is exactly opposite.

With aging, the outer corner of the eye droops down, making under-eye bags more noticeable, lower lids looser and aging more evident. During an eye lift, if the outer corner is not raised up enough to recreate the slant, many African American patients will feel their ethnically unique features have been changed.

"On top of honoring their ethnic uniqueness, one of the biggest concerns African American women have is their tendency to show scars," said Dr. Few. "By going through the inside of the lower eyelid and hiding a small scar in the upper eyelid crease during a lift, the scarring will not be visible."

I have been performing eyelid surgery in this fashion for more than a decade and can assure you that patients of all ethnic backgrounds appreciate hidden cosmetic surgery scars!

Have you heard about DOTS?

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Have you heard about DOTS?

DOT therapy is all the rage in aesthetic journals thanks to some savvy public relation experts. DOT, short for Dermal Optical Thermolysis, is the brand-name for SmartXide, an FDA-cleared fractional laser resurfacing procedure.

It works much like the MIXTO fractional laser facial I offer at my Sterling Heights medical spa, ACCENTS. This technology precisely delivers CO2 laser energy to targeted areas on the face, neck, chest – and can even be used to rejuvenate aging hands.

Both DOT and MIXTO place a pattern of tiny, micro-sized dots to speed healing and reduce downtime by leaving some of the skin untreated. The dots stimulate new collagen growth to:

• Reduce sun damage
• Blend blemishes and dark spots
• Smooth rough, uneven skin texture
• Control signs of aging
• Fade acne scarring
• Soften laugh lines, crow’s feet and wrinkles

Unlike traditional CO2 laser resurfacing, MIXTO laser facials are quite tolerable and most patients do not need any type of anesthesia or topical numbing prior to treatment. After treatment, most people report feeling a sun-burned sensation and say there skin feels tight. Their skin also has a dot-covered appearance and may be darker or redder than normal for a few days following each session. MIXTO treatments can safely be repeated about 6 weeks apart. Each additional session should yield even nicer changes in skin texture and tone.

At ACCENTS, we have been watching this type of fractional laser technology for awhile. In late 2007, we introduced MIXTO to our patients. Shortly after this, WebMD declared fractional laser peels to likely be the most popular skin rejuvenation procedure for 2008. Our patients love these treatments and we are thrilled that more and more celebrities and beauty buzz-makers are learning about our secret beauty booster.