Facial Plast Surg 2010; 26(2): 154-163
DOI: 10.1055/s-0030-1253501
© Thieme Medical Publishers

The Aging African-American Face

Anthony E. Brissett1 , Michelle C. Naylor1
  • 1Bobby R. Alford Department of Otolaryngology–Head and Neck Surgery, Baylor College of Medicine, Houston, Texas
Further Information

Publication History

Publication Date:
04 May 2010 (online)

ABSTRACT

With the desire to create a more youthful appearance, patients of all races and ethnicities are increasingly seeking nonsurgical and surgical rejuvenation. In particular, facial rejuvenation procedures have grown significantly within the African-American population. This increase has resulted in a paradigm shift in facial plastic surgery as one considers rejuvenation procedures in those of African descent, as the aging process of various racial groups differs from traditional models. The purpose of this article is to draw attention to the facial features unique to those of African descent and the role these features play in the aging process, taking care to highlight the differences from traditional models of facial aging. In addition, this article will briefly describe the nonsurgical and surgical options for facial rejuvenation taking into consideration the previously discussed facial aging differences and postoperative considerations.

REFERENCES

  • 1 American Academy of Facial Plastic and Reconstructive Surgery .AAFPRS 2008 Statistics on Trends in Facial Plastic Surgery. Available at: http://www.aafprs.org/media/stats_polls/m_stats.html Accessed December 6, 2009
  • 2 American Academy of Facial Plastic and Reconstructive Surgery .Survey: Rise in Minority Patients Newest Trend in Facial Plastic Surgery. New York, NY; American Academy of Facial Plastic and Reconstructive Surgery 2002
  • 3 Taylor S C. Skin of color: biology, structure, function, and implications for dermatologic disease.  J Am Acad Dermatol. 2002;  46(2, Suppl Understanding) S41-S62
  • 4 Kaidbey K H, Agin P P, Sayre R M, Kligman A M. Photoprotection by melanin—a comparison of black and Caucasian skin.  J Am Acad Dermatol. 1979;  1 249-260
  • 5 Montagna W, Carlisle K. The architecture of black and white facial skin.  J Am Acad Dermatol. 1991;  24(6 Pt 1) 929-937
  • 6 Munavalli G S, Weiss R A, Halder R M. Photoaging and nonablative photorejuvenation in ethnic skin.  Dermatol Surg. 2005;  31(9 Pt 2) 1250-1260 discussion 1261
  • 7 Gloster Jr H M, Neal K. Skin cancer in skin of color.  J Am Acad Dermatol. 2006;  55 741-760 quiz 761-764
  • 8 Hantash B M. Traction alopecia. Available at: http://www.emedicine.com/derm/topics895.htm Accessed November 27, 2009
  • 9 Fu J M, Price V H. Approach to hair loss in women of color.  Semin Cutan Med Surg. 2009;  28 109-114
  • 10 Harris M O. The aging face in patients of color: minimally invasive surgical facial rejuvenation-a targeted approach.  Dermatol Ther. 2004;  17 206-211
  • 11 Kock R J, Hanasono M M. Aesthetic facial analysis. In: Papel I Facial Plastic and Reconstructive Surgery. 2nd ed. New York, NY; Thieme Medical Publishers 2002: 135-144
  • 12 Mattory W E. Ethnic Considerations in Facial Aesthetic Surgery. Philadelphia, PA; Lippincott-Raven 1998
  • 13 Brissett A E, Zevallos J P. Rejuvenation of the aging African face. In: Trustwell WH Surgical Facial Rejuvenation; a Road Map to Safe and Reliable Outcomes. New York, NY; Thieme Medical Publishers 2009: 146-152
  • 14 Friedman O. Changes associated with the aging face.  Facial Plast Surg Clin North Am. 2005;  13 371-380
  • 15 Mandy S H, Monheit G D. Dermabrasion and chemical peels. In: Papel I Facial Plastic and Reconstructive Surgery. 3rd ed. New York, NY; Thieme Medical Publishers 2009: 321-330
  • 16 Roberts W E. Chemical peeling in ethnic/dark skin.  Dermatol Ther. 2004;  17 196-205
  • 17 Joshi S S, Boone S L, Alam M et al.. Effectiveness, safety, and effect on quality of life of topical salicylic acid peels for treatment of postinflammatory hyperpigmentation in dark skin.  Dermatol Surg. 2009;  35 638-644; discussion 644
  • 18 Carniol P J, Harmon C B, Hamilton M M. Ablative laser facial skin rejuvenation. In: Papel I Facial Plastic and Reconstructive Surgery. 3rd ed. New York, NY; Thieme Medical Publishers 2009: 321-330
  • 19 Meyer T K, Blitzer A. Botulinum toxin for facial wrinkles. In: Papel I Facial Plastic and Reconstructive Surgery. 3rd ed. New York, NY; Thieme Medical Publishers 2009: 369-378
  • 20 Grimes P E, Shabazz D. A four-month randomized, double-blind evaluation of the efficacy of botulinum toxin type A for the treatment of glabellar lines in women with skin types V and VI.  Dermatol Surg. 2009;  35 429-435 discussion 435-436
  • 21 Wise J B, Greco T. Injectable treatments for the aging face.  Facial Plast Surg. 2006;  22 140-146
  • 22 Grimes P E, Thomas J A, Murphy D K. Safety and effectiveness of hyaluronic acid fillers in skin of color.  J Cosmet Dermatol. 2009;  8 162-168
  • 23 Marmur E S, Taylor S C, Grimes P E, Boyd C M, Porter J P, Yoo J Y. Six-month safety results of calcium hydroxylapatite for treatment of nasolabial folds in Fitzpatrick skin types IV to VI.  Dermatol Surg. 2009;  35(Suppl 2) 1641-1645
  • 24 McCord C D, Groessl S A. Lower-lid dynamics: influence on blepharoplasty and management of lower-lid retraction.  Op Tech Plast Reconstr Surg. 1998;  5 99-108
  • 25 Brissett A E, Sherris D A. Scar contractures, hypertrophic scars, and keloids.  Facial Plast Surg. 2001;  17 263-272
  • 26 Niessen F B, Spauwen P H, Schalkwijk J, Kon M. On the nature of hypertrophic scars and keloids: a review.  Plast Reconstr Surg. 1999;  104 1435-1458
  • 27 Butler P D, Longaker M T, Yang G P. Current progress in keloid research and treatment.  J Am Coll Surg. 2008;  206 731-741
  • 28 Leventhal D, Furr M, Reiter D. Treatment of keloids and hypertrophic scars: a meta-analysis and review of the literature.  Arch Facial Plast Surg. 2006;  8 362-368
  • 29 Mustoe T A, Cooter R D, Gold M H et al.. International clinical recommendations on scar management.  Plast Reconstr Surg. 2002;  110 560-571

Anthony E BrissettM.D. F.A.C.S. 

Assistant Professor, Director of Facial Plastic and Reconstructive Surgery, Bobby R. Alford Department of Otolaryngology–Head and Neck Surgery

Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030

Email: brissett@bcm.tmc.edu