Abstract
The approach to rejuvenation of the Asian neck and body requires a thorough understanding of key anatomic and physiologic traits and familiarity with the intrinsic and extrinsic aging process. As a group, Asians have a smaller frame and body weight, shorter stature, and short, muscular legs. Cutaneous racial differences include: decreased terminal body hair, reduced sweating, fewer leg veins, increased incidence of keloid formation, and higher epidermal melanin content that predisposes to postinflammatory hyperpigmentation (PIH). Histologically, the dermis of Asian skin is thicker, and wrinkling is delayed by approximately 10 years as compared to age matched Caucasian counterparts.1 Photoaging in Asians is frequently characterized by pigmentary disorders such as solar lentigines and seborrheic keratoses on the head and neck.2 The neck also ages differently in Asians compared to Caucasians. Poikiloderma of Civatte is uncommon, and platysmal neck bands in Asians are less problematic. Finally, differences in cultural aesthetic goals also exist. In Asians, there is a greater focus on toning and tightening of the body rather than performing procedures such as breast augmentation, liposuction, and abdominoplasty. Below, we will review various minimally-invasive rejuvenation methods and highlight special considerations when treating the Asian patient.
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References
Yu S, Grekin R. Aesthetic analysis of Asian skin. Facial Plast Surg Clin North Am. 2007;15(3):361–365.
Chung JH. Photoaging in Asians. Photodermatol Photoimmunol Photomed. 2003;19:109–121.
Han KH, Joo YH, Moon SE, et al. Botulinum toxin A treatment for contouring of the lower leg. J Dermatol Treat. 2006;17(4):250–254.
Lee JH, Huh CH, Yoon HJ, et al. Photoepilation results of axillary hair in dark-skinned patients by IPL: a comparison between different wavelength and pulse width. Derm Surg 2006;32(2):234–240.
Manstein D, Herron GS, Sink RK. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34:426–438.
Chan HH, Manstein D, Yu CS, et al. The prevalence and risk factors of post-inflammatory hyperpigmentation after fractional resurfacing in Asians. Lasers Surg Med. 2007;39(5):381–385.
Kono T, Chan HH, Groff WF, et al. Prospective direct comparison study of fractional resurfacing using different fluences and densities for skin rejuvenation in Asians. Lasers Surg Med. 2007;39(4):311–314.
Sadick N, Magro C. A study evaluating the safety and efficacy of the VelaSmooth system in the treatment of cellulite. J Cosmet Laser Ther. 2007;9(1):15–20.
Teitelbaum SA, Burns JL, Kubota J, et al. Noninvasive body contouring by focused ultrasound: safety and efficacy of the Contour I device in a multicenter, controlled, clinical study. Plast Reconstr Surg. 2007;120(3):779-89. [discussion 790].
Shek SY, Yu CS, Yeung CK, et al. Non-invasive body contouring with focused ultrasound technology. Lasers Surg Med. 2007;S20:60.
Suh DH, Chang KY, Son HC, et al. Radiofrequency and 585-nm pulsed dye laser treatment of striae distensae: a report of 37 Asian patients. Dermatol Surg. 2007;33(1):29–34.
Alster TS. Improvement of erythematous and hypertrophic scars by the 585nm flashlamp-pumped pulsed dye laser. Ann Plast Surg. 1994;32:186–189.
Nouri K, Jimenez GP, Harrison-Balestra C. 585nm pulsed dye laser in the treatment of surgical scars on the suture removal day. Dermatol Surg. 2003;29:65–73.
Manuskiatti W, Fitzpatrick RE, Goldman MP. Energy density and number of treatments affect respone of keloidal and hypertrophic sternotomy scars to the 585nm flashlamp-pumped pulsed-dye laser. J Am Acad Dermatol. 2001;45:557–565.
Chan HH, Ying Y, Ho WS, et al. An in vivo study comparing the efficacy and complications of diode laser and long-pulsed Nd:YAG laser in hair removal in Chinese patients. Dermatol Surg. 2001;27(11):950–954.
Hussain M, Polnikorn N, Goldberg DJ. Laser assisted hair removal in Asian skin: efficacy, complication, and the effect of single versus multiple treatments. Dermatol Surg. 2003;29(3):249–254.
Bouzari N, Tabatabai H, Abbasi Z, et al. Laser hair removal: comparison of long-pulsed Nd:YAG, long-pulsed alexandrite, and long-pulsed diode lasers. Dermatol Surg. 2004;30(4 Pt 1):498–502.
Lee HJ, Lee DW, Park YH, et al. Botulinum toxin A for aesthetic contouring of enlarged edial gastrocnemius muscle. Dermatol Surg. 2004;30(6):867–871.
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Shieh, S., Chan, H.H.L. (2010). Special Considerations in Asian Patients. In: Alam, M., Pongprutthipan, M. (eds) Body Rejuvenation. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1093-6_32
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DOI: https://doi.org/10.1007/978-1-4419-1093-6_32
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