Cosmetic Considerations in Dark-Skinned Patients
Sarawin Harnchoowong,1 Vasanop Vachiramon,2 Natthachat Jurairattanaporn2 1Department of Dermatology, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand; 2Division of Dermatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandC...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2024-02-01
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| Series: | Clinical, Cosmetic and Investigational Dermatology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/cosmetic-considerations-in-dark-skinned-patients-peer-reviewed-fulltext-article-CCID |
| _version_ | 1797335790869544960 |
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| author | Harnchoowong S Vachiramon V Jurairattanaporn N |
| author_facet | Harnchoowong S Vachiramon V Jurairattanaporn N |
| author_sort | Harnchoowong S |
| collection | DOAJ |
| description | Sarawin Harnchoowong,1 Vasanop Vachiramon,2 Natthachat Jurairattanaporn2 1Department of Dermatology, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand; 2Division of Dermatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Natthachat Jurairattanaporn, Division of Dermatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand, Tel +66 2201 1141, Fax +66 2201 1211 Ext 4, Email natthachat.j.md@gmail.comAbstract: For dermatologists, diversities of human races result in an opportunity to encounter patients with various skin types. Cosmetic procedures have gained more popularity and become more accessible over the past decades. Thus, the selection of appropriate treatment protocol for each patient becomes inevitable. This review will focus on basic knowledge and key points in performing safe cosmetic-related procedures in patients with dark-complexioned skin. In terms of structure and function of the skin, people of color have equal epidermal thickness, corneocyte size and melanocyte number. However, they have more stratum corneum compaction, melanosome dispersion and melanocyte activity than fair skin individuals. Data regarding drug penetration and cutaneous irritation showed conflicting results. Superficial chemical peels and microdermabrasion can be done safely in dark-skinned patients. Medium-depth peel should be used with extreme caution. While deep-depth peel should be avoided at all times due to pigmentary and textural complications. Prolonged treatment interval, use of priming agents and sun protection are recommended. Injectable materials including botulinum toxin and soft tissue augmentation by hyaluronic acid filler can be done harmlessly in dark-skinned patients. Lasers and energy-based devices should be done with caution. Higher melanin dispersion and melanocyte activity acts as competitive chromophore. Pigmentary or textural changes can occur after aggressive treatment protocol. High energy setting, pulse stacking, short wavelength lasers and short treatment interval should be avoided in dark-skinned patients.Keywords: complications, dark skin, energy-based devices, injectables, laser, skin of color |
| first_indexed | 2024-03-08T08:42:28Z |
| format | Article |
| id | doaj.art-88f4ede2614c441a84078c5af672256e |
| institution | Directory Open Access Journal |
| issn | 1178-7015 |
| language | English |
| last_indexed | 2024-03-08T08:42:28Z |
| publishDate | 2024-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical, Cosmetic and Investigational Dermatology |
| spelling | doaj.art-88f4ede2614c441a84078c5af672256e2024-02-01T17:59:27ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152024-02-01Volume 1725927790114Cosmetic Considerations in Dark-Skinned PatientsHarnchoowong SVachiramon VJurairattanaporn NSarawin Harnchoowong,1 Vasanop Vachiramon,2 Natthachat Jurairattanaporn2 1Department of Dermatology, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand; 2Division of Dermatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Natthachat Jurairattanaporn, Division of Dermatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand, Tel +66 2201 1141, Fax +66 2201 1211 Ext 4, Email natthachat.j.md@gmail.comAbstract: For dermatologists, diversities of human races result in an opportunity to encounter patients with various skin types. Cosmetic procedures have gained more popularity and become more accessible over the past decades. Thus, the selection of appropriate treatment protocol for each patient becomes inevitable. This review will focus on basic knowledge and key points in performing safe cosmetic-related procedures in patients with dark-complexioned skin. In terms of structure and function of the skin, people of color have equal epidermal thickness, corneocyte size and melanocyte number. However, they have more stratum corneum compaction, melanosome dispersion and melanocyte activity than fair skin individuals. Data regarding drug penetration and cutaneous irritation showed conflicting results. Superficial chemical peels and microdermabrasion can be done safely in dark-skinned patients. Medium-depth peel should be used with extreme caution. While deep-depth peel should be avoided at all times due to pigmentary and textural complications. Prolonged treatment interval, use of priming agents and sun protection are recommended. Injectable materials including botulinum toxin and soft tissue augmentation by hyaluronic acid filler can be done harmlessly in dark-skinned patients. Lasers and energy-based devices should be done with caution. Higher melanin dispersion and melanocyte activity acts as competitive chromophore. Pigmentary or textural changes can occur after aggressive treatment protocol. High energy setting, pulse stacking, short wavelength lasers and short treatment interval should be avoided in dark-skinned patients.Keywords: complications, dark skin, energy-based devices, injectables, laser, skin of colorhttps://www.dovepress.com/cosmetic-considerations-in-dark-skinned-patients-peer-reviewed-fulltext-article-CCIDcomplicationsdark skinenergy-based devicesinjectableslaserskin of color |
| spellingShingle | Harnchoowong S Vachiramon V Jurairattanaporn N Cosmetic Considerations in Dark-Skinned Patients Clinical, Cosmetic and Investigational Dermatology complications dark skin energy-based devices injectables laser skin of color |
| title | Cosmetic Considerations in Dark-Skinned Patients |
| title_full | Cosmetic Considerations in Dark-Skinned Patients |
| title_fullStr | Cosmetic Considerations in Dark-Skinned Patients |
| title_full_unstemmed | Cosmetic Considerations in Dark-Skinned Patients |
| title_short | Cosmetic Considerations in Dark-Skinned Patients |
| title_sort | cosmetic considerations in dark skinned patients |
| topic | complications dark skin energy-based devices injectables laser skin of color |
| url | https://www.dovepress.com/cosmetic-considerations-in-dark-skinned-patients-peer-reviewed-fulltext-article-CCID |
| work_keys_str_mv | AT harnchoowongs cosmeticconsiderationsindarkskinnedpatients AT vachiramonv cosmeticconsiderationsindarkskinnedpatients AT jurairattanapornn cosmeticconsiderationsindarkskinnedpatients |