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Considerations for cosmetic surgery in the black population
1Division of Dermatology, King-Drew Medical Center, Los Angeles, California.
Clinics in Plastic Surgery
|January 1, 1993
Summary
Cosmetic surgery is increasingly available to Black patients. Surgeons can achieve good results by modifying procedures to minimize scarring and pigmentary changes, dispelling myths about keloid formation.
Area of Science:
- Plastic Surgery
- Dermatology
- Aesthetic Medicine
Background:
- Cosmetic surgical procedures are increasingly accessible to the general public, including Black individuals.
- Concerns exist regarding potential adverse outcomes like keloids and dyspigmentation in Black patients undergoing aesthetic surgery.
- Existing myths may deter surgeons from operating on Black patients.
Purpose of the Study:
- To address the safety and efficacy of cosmetic surgery in Black patients.
- To dispel common misconceptions about surgical outcomes in this demographic.
- To provide guidance for aesthetic surgeons operating on Black individuals.
Main Methods:
- Review of existing literature and clinical experience regarding cosmetic surgery in Black patients.
- Analysis of potential risks, including keloid formation and dyspigmentation.
- Discussion of procedural modifications to optimize outcomes.
Main Results:
- The myth that all Black patients develop keloids or dyspigmentation is unfounded.
- Patients with a history of keloids or hypertrophic scarring require caution or avoidance of elective procedures.
- Good aesthetic results are achievable with appropriate modifications.
Conclusions:
- Aesthetic surgeons should not be deterred from performing cosmetic procedures in Black patients.
- Modifications to surgical techniques can minimize risks and maintain ethnic congruency.
- Careful patient selection and procedural adjustments are key to successful outcomes.