Aging Face African American

Much of the literature has focused on how aging affects patients of European descent.  However, aging effects everyone, albeit in different ways.  The term African American represents a broad range of skin types, pigmentation, and facial features.  In fact, a recent study in Nature found that persons of African descent had the most diverse genome (genetic characteristics).

Typically, the higher melanin content in African American skin provides increased protection from the harmful effects of UVA and UVB sun damage.  As a result of this protection, African American skin may continue to have a higher elasticty, or spring, even in advanced age.  The elasticity is an important factor in prevention of lines and skin from sagging.  Despite the beneficial approachs seen in the skin, the aging process continues with volumetric changes to the face, midface and cheek area.  In addition, the deeper structures of the face and neck will continue to slide down, creating less defined jawlines and necks.

Dr. Shah utilizes an individualized approach in treating African American patients seeking youthful rejuvenation.  First of all, some patients may benefit from a neck only lift in order to tailor the jaw and neckline.  Volumetric replenishment of the face may serve to provide a lift of the midface and lower face.  Finally, in some cases, repositioning of the deeper tissues will allow for a more youthful deeper structure to the face. 

African american patients have a higher incidence of keloid formation.  Due to this possibility,  Dr. Shah advocates close followup after any procedure to lessen the likelihood of this occurring.  Dr. Shah utilizes a series of preventative measures to help reduce the incidence of keloid formation.

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