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Use and Misuse of Cosmeceuticals and Cosmetic Procedures in Pigmented Ethnic Skin

  • Medhat Abdelmalek
Chapter

Abstract

Incidence, clinical presentation, and treatment of skin disorders show prominent differences in individuals with pigmented ethnic skin compared to Caucasians with white skin. This is primarily due to decisive differences in the cutaneous structure and function of the skin and hair. For example, the use of pore-clogging substances by Caucasians may result in predominant clinical inflammation with papules and pustules that develop over a period of 2–3 weeks. On the other hand, non-Caucasian skin responds by rupturing the follicular wall early in the process [1]. Patients with pigmented or black skin have unique cosmetic concerns and necessitate particular consideration when it comes to apply cosmeceuticals and/or receive aesthetic procedures, such as laser and chemical peels. In particular, ethnic skin individuals are easily susceptible to trauma which can lead to permanent pigmentary changes. Recent advances in this area resulted in the development of safer technology and products. Consequently, there is an increased demand of the number of patients requesting cosmetic procedures to attain even skin color, reduce the signs of aging, and remove unwanted hair [2]. Dermatologists are required to administer cosmeceuticals in their biologically active form to the skin and ensure the use of sufficient amounts of the appropriate agent in order to obtain desirable effects. It is also crucial that specialists inform their patients on possible side effects individuals with pigmented ethnic skin are more susceptible to a unique profile of complications.

References

  1. 1.
    Draelos ZD. Cosmeceuticals. Philadelphia: Elsevier; 2005.Google Scholar
  2. 2.
    Woolery-Lloyd H, Kammer J. Overview of cosmetic concerns in skin of color. In: Alexis A, Barbosa V, editors. Skin of color: a practical guide to dermatologic diagnosis and treatment. New York: Springer; 2013. p. 221–36.CrossRefGoogle Scholar
  3. 3.
    Ferguson L, Rossi A, Alexis A, et al. Cosmetic dermatology in ethnic skin. In: Dadzie OE, Petit A, Alexis A, editors. Ethnic dermatology: principles and practice. Chichester: Wiley; 2013. p. 273–86.CrossRefGoogle Scholar
  4. 4.
    Mahmoud B, Hexsel C, Hamzavi I, et al. Effects of visible light on the skin. Photochem Photobiol. 2008;84:450–62.CrossRefPubMedGoogle Scholar
  5. 5.
    Grimes P. Management of hyperpigmentation in darker racial ethnic groups. Semin Cutan Med Surg. 2009;28:77–85.CrossRefPubMedGoogle Scholar
  6. 6.
    Tay Y. Treatment of pigmented lesions in the Asian skin. In: Tay YK, Chan YC, editors. Textbook of laser and light dermatology in the Asian skin. Singapore: World Scientific Publishing; 2011. p. 37–58.CrossRefGoogle Scholar
  7. 7.
    Vashi N, Maymone M, Kundu R. Aging differences in ethnic skin. J Clin Aesthet Dermatol. 2016;9:31–8.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Goh C, Noppakun N, Micali G, et al. Meeting the challenges of acne treatment in Asian patients: a review on the role of dermocosmetics as adjunctive therapy. J Cutan Aesthet Surg. 2016;9:85–92.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Shah S, Alexis A. Acne and rosacea in skin of color. In: Alexis A, Barbosa V, editors. Skin of color: a practical guide to dermatologic diagnosis and treatment. New York: Springer; 2012. p. 21–36.Google Scholar
  10. 10.
    Shetty R. Outer circle versus inner circle: special considerations while rejuvenating an Indian face using fillers. J Cutan Aesthet Surg. 2015;8:169–72.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Burgees C. Fillers in ethnic skin. In: Alexis A, Barbosa V, editors. Skin of color: a practical guide to dermatologic diagnosis and treatment. New York: Springer; 2012. p. 247–62.Google Scholar
  12. 12.
    Abduljabbar M, Basendwh MA. Complications of hyaluronic acid fillers and there managements. J Dermatol Dermatol Surg. 2016;20:100–6.CrossRefGoogle Scholar
  13. 13.
    Small R. Botulinum toxin injection for facial wrinkles. Am Fam Physician. 2014;90:168–75.PubMedGoogle Scholar
  14. 14.
    Choi Y, Lee J, Ahn J. The safety and efficacy of a combined diode laser and bipolar radiofrequency compared with combined infrared light and bipolar radiofrequency for skin rejuvenation. Indian J Dermatol Venereol Leprol. 2012;78:146–52.CrossRefPubMedGoogle Scholar
  15. 15.
    Gold M. The increasing use of nonablative radiofrequency in the rejuvenation of the skin. Exp Rev Dermatol. 2011;6:139–43.CrossRefGoogle Scholar
  16. 16.
    Rogachefsky A, Silapunt S, Goldberg J. Evaluation of a new super-long pulsed 810 NM diode laser for the removal of unwanted hair: the concept of thermal damage time. Dermatol Surg. 2002;28:410–4.PubMedGoogle Scholar
  17. 17.
    Chiu C, Chan H, Ho W. Prospective study of pulsed dye laser in conjunction with cryogen spray cooling for treatment of port-wine stains in Chinese patients. Dermatol Surg. 2003;29:909–15.PubMedGoogle Scholar
  18. 18.
    Mahe A. Cosmetic use of skin lightning products. In: Dadzie OE, Petit A, Alexis AF, editors. Ethnic dermatology: principles and practice. Chichester: Wiley; 2012. p. 287–92.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Medhat Abdelmalek
    • 1
  1. 1.Consultant Dermatologist and VenereologistAmmanJordan

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