Cosmetic Dermatology for Skin of Color

203 Pages·2008·12.91 MB·English

by  Murad Alam

COSMETIC DERMATOLOGY
FOR SKIN OF COLOR
Notice
Medicine is an ever-changing science. As new research and clinical experience
broaden our knowledge, changes in treatment and drug therapy are required.
The authors and the publisher of this work have checked with sources believed
to be reliable in their efforts to provide information that is complete and gener-
ally in accord with the standards accepted at the time of publication. However,
in view of the possibility of human error or changes in medical sciences, nei-
ther the authors nor the publisher nor any other party who has been involved
in the preparation or publication of this work warrants that the information con-
tained herein is in every respect accurate or complete, and they disclaim all
responsibility for any errors or omissions or for the results obtained from use of
the information contained in this work. Readers are encouraged to confirm the
information contained herein with other sources. For example and in particu-
lar, readers are advised to check the product information sheet included in the
package of each drug they plan to administer to be certain that the information
contained in this work is accurate and that changes have not been made in the
recommended dose or in the contraindications for administration. This recom-
mendation is of particular importance in connection with new or infrequently
used drugs.
C OSMETIC
DERMATOLOGY FOR
SKIN OF C OLOR
EDITORS
Murad Alam, MD
Chief, Section of Cutaneous and Aesthetic Surgery
Associate Professor, Department of Dermatology, Otolaryngology, and Surgery
Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Ashish C. Bhatia, MD, FAAD
Director, River North Dermatology & Dermatologic Surgery
DuPage Medical Group, Naperville, Illinois
Assistant Clinical Professor, Department of Dermatology
Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Roopal V. Kundu, MD
Director, Northwestern Center for Ethnic Skin
Adjunct Assistant Professor, Department of Dermatology
Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Assistant Professor, Department of Dermatology
New York University School of Medicine, New York, New York
Simon S. Yoo, MD
Assistant Professor, Department of Dermatology
Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Henry Hin-Lee Chan, MD, FRCP
Honorary Associate Clinical Professor, Division of Dermatology, Department of Medicine
University of Hong Kong, Hong Kong, People's Republic of China
Visiting Scientist, Wellman Center for Photomedicine, Massachusetts General Hospital
Harvard Medical School, Boston, Massachusetts
New York Chicago San Francisco Lisbon London Madrid
Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto
Copyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this
publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the
publisher.
ISBN: 978-0-07-164123-4
MHID: 0-07-164123-8
The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-148776-4, MHID: 0-07-148776-X.
All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an edi-
torial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they
have been printed with initial caps.
McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs. To contact a rep-
resentative please visit the Contact Us page at www.mhprofessional.com.
TERMS OF USE
This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its licensors reserve all rights in and to the work. Use of this work is subject
to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble,
reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it with-
out McGraw-Hill’s prior co sent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to
use the work may be terminated if you fail to comply with these terms.
THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADE-
QUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE
ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and
its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free.
Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any
damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-
Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work,
even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim
or cause arises in contract, tort or otherwise.
DEDICATION
To MP, RT, my parents, Rahat and Rehana, and my sister, Nigar.
—Murad Alam
My sincere gratitude goes to my mother and father, to my two brothers, Vikas and Manish,
and especially to my wife, Tania, for supporting me throughout my career and continuing
to do so every day. I would also like to thank Dr. Robert Brodell for kindling my interest in
dermatology, dermatologic surgery, education, and research. Thanks for your support and
for inspiring me always to be a better person, educator, student, and physician. I thank Dr.
Thomas Rohrer for inspiring me to be the best dermatologic and cosmetic surgeon that I
can be, and for preparing me for the exciting adventure ahead.
I would also like to thank my colleague and partner in practice, Dr. Jeff Hsu and my
amazing nurses, MAs, administrative assistant, office coordinator, PAs, NP, histology
technician, research staff, and front office staff—all of whom make it possible to have a
fulfilling practice as well as a research and academic career. Thank you for making
every day fun and exciting!
—Ashish C. Bhatia
To my husband, Som, my children, Nalin and Nayana, my sisters, Neelam and Ronak,
and my wonderful parents, Ajit and Kaumudini,
who have been “the wind beneath my wings.”
—Roopal V. Kundu
To my parents, Young Ho and Seul Hi, who are my inspiration,
to my sister, Suzanne, for her encouragement,
and to my brothers, Bon and Glen, for their sharpening.
—Simon S. Yoo
I would like to acknowledge my mother, my wife, Shirley, my daughter, Scarlett, and
my son, Henry, for their support throughout my career.
—Henry Hin-Lee Chan
This page intentionally left blank
CONTENTS
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Chapter 13: Surgical Lifting and Tightening
in Ethnic Skin. . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi David J. Kouba, MD, PhD, Kee-Yang Chung, MD, PhD,
and Ronald L. Moy, MD
Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . xiii
Chapter 14: Cosmeceuticals in Ethnic Skin . . . 105
Zoe Diana Draelos, MD
Chapter 1: Defining Skin of Color . . . . . . . . . . . . . 1
Sejal K. Shah, MD, and Andrew F. Alexis, MD, MPH Chapter 15: Treatment of Melasma. . . . . . . . . . 116
Jennifer Y. Lin, MD, Joyce Teng Ee Lim, MD, FRCPI, FAMS,
Chapter 2: Evaluation of the Ethnic Skin
and Henry Hin-Lee Chan, MD, FRCP
Patient Presenting for Cosmetic Procedures . . . . 12
Roopal V. Kundu, MD, and Rebat M. Halder, MD Chapter 16: Treatment of Dermatosis
Papulosa Nigra . . . . . . . . . . . . . . . . . . . . . . . . . 125
Chapter 3: Potential Adverse Effects After
James C. Collyer, MD, and Susan Leu, MD
Procedures in Ethnic Skin. . . . . . . . . . . . . . . . . . 16
Henry Hin-Lee Chan, MD, FRCP, and Changhuh Huh, MD, PhD Chapter 17: Postinflammatory
Hyperpigmentation . . . . . . . . . . . . . . . . . . . . . . 130
Chapter 4: The Consent Process for Procedures
Yan I. Zhu, MD, PhD
in Ethnic Skin. . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Siegrid S. Yu, MD Chapter 18: Treatment of Acne Scarring in
Ethnic Skin. . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Chapter 5: Epidermal and Color Improvement
Greg J. Goodman, MD
in Ethnic Skin: Microdermabrasion and
Superficial Peels. . . . . . . . . . . . . . . . . . . . . . . . . 29 Chapter 19: Treatment of Keloids and
Diana Leu, MD, and Simon S. Yoo, MD Hypertrophic Scars in Ethnic Skin. . . . . . . . . . . 156
Voraphol Vejjabhinanta, MD, Keyvan Nouri, MD, FAAD,
Chapter 6: Epidermal and Dermal Color
and Asha R. Patel, BS
Improvement in Ethnic Skin: Pigment Lasers
and Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Chapter 20: Special Considerations in
Nicola P.Y. Chan, MB BChir, MRCP, and Henry Hin-Lee Chan, African American Skin . . . . . . . . . . . . . . . . . . . 163
MD, FRCP
Cheryl M. Burgess, MD, FAAD
Chapter 7: Dermal Color Improvement in Ethnic Chapter 21: Special Considerations in
Skin: Vascular Lasers and Lights. . . . . . . . . . . . . 44 Asian/Far Eastern Skin . . . . . . . . . . . . . . . . . . . 169
Taro Kono, MD, PhD, and Henry Hin-Lee Chan, MD, FRCP Henry Hin-Lee Chan, MD, FRCP, and Stephanie G.Y. Ho,
MBBS, MRCP
Chapter 8: Nonablative Dermal Resurfacing in
Ethnic Skin: Laser and Intense Pulsed Light. . . . 51 Chapter 22: Special Considerations in Indian/
Suneel Chilukuri, MD, and Ashish C. Bhatia, MD, FAAD Near Eastern Skin. . . . . . . . . . . . . . . . . . . . . . . 173
Joslyn N. Witherspoon, MD, MPH, Richard H. Huggins, MD,
Chapter 9: Ablative Dermal Resurfacing in Ethnic
and Murad Alam, MD
Skin: Laser, Deep Peels, and Dermabrasion. . . . . 58
Tina Bhutani, MD, and Sonia R. Batra, MD, MSc, MPH Chapter 23: Special Considerations in
Latino Skin. . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Chapter 10: Hair Removal in Ethnic Skin: Laser,
Joseph F. Greco, MD, and Teresa Soriano, MD
Lights, and Medical and Mechanical Epilation . . 70
Roopal V. Kundu, MD
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
Chapter 11: Liposuction in Ethnic Skin. . . . . . . . 78
Murad Alam, MD
Chapter 12: Nonsurgical Tightening and
Lifting in Ethnic Skin . . . . . . . . . . . . . . . . . . . . . 87
Vic A. Narurkar, MD, FAAD
This page intentionally left blank
CONTRIBUTORS
Murad Alam, MD Chief, Section of Cutaneous and Aesthetic Medicine, Division of Dermatology, Albert Einstein College of
Surgery; Assistant Professor, Department of Dermatology, Medicine of Yeshiva University, Bronx, New York
Otolaryngology, and Surgery, Feinberg School of Medicine, Chapter 8
Northwestern University, Chicago, Illinois
Chapters 11 and 22 Kee-Yang Chung, MD, PhD Professor, Department of
Dermatology, Yonsei University College of Medicine, Seoul,
Andrew F. Alexis, MD, MPH Assistant Clinical Professor, South Korea
Columbia University College of Physicians & Surgeons, New Chapter 13
York, New York; Director, Skin of Color Center, Department of
Dermatology, St. Luke’s Roosevelt Hospital, New York, New York James C. Collyer, MD Resident, Department of Dermatology,
Chapter 1 Feinberg School of Medicine, Northwestern University, Chicago,
Illinois
Sonia R. Batra, MD, MSc, MPH Assistant Clinical Professor, Chapter 16
Department of Dermatology, Keck School of Medicine,
University of Southern California, Los Angeles, California Zoe Diana Draelos, MD Investigator, Dermatology Consulting
Chapter 9 Services, High Point, North Carolina
Chapter 14
Ashish C. Bhatia, MD, FAAD Director, River North Dermatology
& Dermatologic Surgery, Naperville, Illinois; Assistant Clinical Greg J. Goodman, MD Senior Lecturer, Department of General
Professor, Department of Dermatology, Feinberg School of Practice, Monash University, Clayton, Victoria, Australia
Medicine, Northwestern University, Chicago, Illinois Chapter 18
Chapter 8
Joseph F. Greco, MD Clinical Instructor, Division of Dermatology,
Tina Bhutani, MD Resident Physician, Department of Internal Department of Medicine, David Geffen School of Medicine,
Medicine, University of California, San Diego, San Diego, University of California, Los Angeles, Los Angeles, California
California Chapter 23
Chapter 9
Rebat M. Halder, MD Professor and Chairman, Department of
Cheryl M. Burgess, MD, FAAD Assistant Clinical Professor, Dermatology, Howard University College of Medicine,
Department of Dermatology, Georgetown University Hospital, Washington, DC
Washington, DC Chapter 2
Chapter 20
Stephanie G.Y. Ho, MBBS, MRCP Honorary Clinical Research
Henry Hin-Lee Chan, MD, FRCP Honorary Associate Clinical Associate, Department of Medicine, Division of Dermatology,
Professor, Division of Dermatology, Department of Medicine, University of Hong Kong, Hong Kong, People’s Republic of
University of Hong Kong, Hong Kong, People’s Republic of China
China; Visiting Scientist, Wellman Center for Photomedicine, Chapter 21
Massachusetts General Hospital, Harvard Medical School,
Boston, Massachusetts Richard H. Huggins, MD Clinical Research Fellow, Department of
Chapters 3, 6, 7, 15, and 21 Dermatology, Henry Ford Health System, Detroit, Michigan
Chapter 22
Nicola P.Y. Chan, MBBChir, MRCP Honorary Associate Clinical
Professor, Department of Medicine, University of Hong Kong, Changhuh Huh, MD, PhD Assistant Professor, Department of
Hong Kong, People’s Republic of China Dermatology, Seoul National University Bundang Hospital,
Chapter 6 Seongnam, Gyeonggi, South Korea
Chapter 3
Suneel Chilukuri, MD Associate Clinical Professor, Department
of Dermatology, Baylor College of Medicine, Houston, Texas; Taro Kono, MD, PhD Assistant Professor, Department of Plastic
Assistant Clinical Professor, Department of Dermatology, and Reconstructive Surgery, Tokyo Women’s Medical University,
Columbia University College of Physicians & Surgeons, New Tokyo, Japan
York, New York; Assistant Clinical Professor, Department of Chapter 7
ix