Diagnosing & Treating Rosacea on Black Skin
Rosacea is famously difficult to diagnose, but in people of color rosacea can be even more problematic to identify. While many physicians have little experience with darker skin, Dr. Ali has been helping patients with melanin-rich skin receive the best diagnoses and most advanced and appropriate skincare treatments for more than 3 decades.
In this article he discusses the challenges of treating rosacea in Black and brown skin.
What is Rosacea?
Rosacea is a puzzling skin condition that causes chronic flareups of inflammation in more than 14 million people in the U.S. Yet medical science still does not understand completely what cause rosacea. Misinformation about rosacea is also constantly disseminated, making it even harder to treat properly. And myths about rosacea include untruths such as “it’s just blushing,” “it’s an allergic reaction,” or “only white people get rosacea”.
But the truth is the symptoms of rosacea are the same, regardless of skin color or ethnicity. Although its characteristic redness may be harder to see on brown or Black skin.
Rosacea is an inflammatory condition most commonly seen on the cheeks and nose, that consists of tiny broken blood vessels. Other rosacea symptoms include skin sensitivity, swelling, and changes in skin texture.
Why Rosacea is Misdiagnosed in Black Patients
On light or Caucasian skin, rosacea is characterized by a very red appearance (medically call erythema) – hence its descriptive name “rosacea”. But the flushing of rosacea can present as a violet, purple, or even a dusky brown hue on Black skin. This is because the melanin in dark skin tends to mask the redness. As a result, more subtle appearing rosacea often gets missed or and misdiagnosed on Black patients.
And in medical textbooks, the majority of the images for rosacea only show it on lighter skin – further perpetuating confusion about its prevalence on Black individuals.
Additionally, rosacea often presents differently on different people. Some patients just have redness while other shave pustules. So, some types of rosacea can look extremely similar to other skin conditions, especially acne. Especially in darker-skinned individuals, rosacea often appears as inflamed bumps and pus-filled pimples – leading to the incorrect diagnosis and improper treatment.
For example, if someone with rosacea is diagnosed with acne, powerful retinoids, salicylic acid and benzoyl peroxide may be prescribed. And while these treatments can improve acne breakouts, they can easily make rosacea-prone skin worse.
Diagnosing Rosacea on Black Skin
When clinically diagnosing rosacea on dark skin, a thorough physical examination of clean bare skin needs to be conducted in high light. The eyes can also be a clue to rosacea, as rosacea can gradually affect the eyes, leaving them itchy, dry, or watery.
It is essential to diagnose rosacea on black skin as early as possible because if diagnosed later, there is a higher chance of additional complications such as hyperpigmentation or thickening of the skin on the nose. Late diagnosis can also lead to issues with vision.
Treating Rosacea on Black Skin
Regardless of the patient’s skin color, there is no definitive cure for rosacea. Symptoms tend to come and go. And rosacea treatment involves combining skin care, medications, and lifestyle adjustments (such as avoiding certain known triggers). But the good news is that rosacea is manageable in people of all skin tones and colors under a specialized doctor’s care.
Skin Care Products for Black Rosacea Patients
A skin care regimen incorporating hydrating and replenishing ingredients such as niacinamide, hyaluronic acid, and ceramides can help restore the skin’s compromised barrier – while avoiding abrasive scrubs and over-cleansing. Daily application of an SPF 30 or higher is important, too.
These products should be medically developed clinical grade products like those offered in our office by EltaMD and in our online stores by Zo Skin Health and Alastin. EltaMD Barrier Renewal Complex, Alastin HydraTint Pro Mineral Broad Spectrum Sunscreen SPF 36 and Zo Skin Health Rozatrol® are a few of the products we offer our rosacea patients. We can help you determine the right skincare products during your consultation.
In Office Treatments for Black Rosacea Patients
Carefully selected in-office treatments can also reduce the inflammation and pustules of rosacea. However, treatments for Black patients must be carefully chosen – because not all treatments are safe for melanin-rich skin.
For example, Fraxel laser can be used to reduce rosacea flareups in light skinned patients – but are not safe for darker skin tones. Lasers like Fraxel and CO2 can be dangerous for dark skin because they are “ablative” (take off the top layer of skin) which can result in permanent hyperpigmentation when used on darker complexions.
However, at AMAE in the Detroit area we offer non-ablative treatments that are safe for darker skin – including Gentle but powerful “DiamondGlow” that uses the power of water pressure to clear out pores and infuse customized serums. Certain specially formulated medical-grade facials can also be applied to sooth the inflammation and eliminate the pustules of rosacea.
Rosacea Treatments for Black Skin
Renowned Detroit area plastic surgeon Dr. Ali has been successfully treating people of color for decades. In fact, Dr. Ali is of middle eastern decent himself and his own skin is brown. He understands the unique needs and concerns of Black skin and help you choose the rosacea products and treatments that are ideal for your unique skin.
At AMAE in the Troy, MI area each appointment begins with a professional skin consultation. Rosacea treatments and products are then carefully selected and customized to meet the specific needs of each client’s unique skin.
Dr. Ali and our nurses and aestheticians offer the absolute best technologies in skin care – including state-of-the-art rosacea products and treatments. Schedule a consultation to see which treatment is best for your skin’s color, type and condition. Then relax in our Troy, MI area Med Spa, while we make you look and feel younger and even more beautiful!
Rosacea Treatments for Black Skin: 248.335.7200
Get Slimmer Arms in 2022 with Liposuction!
/in Liposuction /by adminLiposuction for Arms
Dieting and exercise is on everybody’s mind as we start the New Year. But, unfortunately, when a woman’s body deposits fat in the arms – due to heredity, weight gain or age – no amount of exercise or diet seems to reduce it. Additionally, as we age gravity takes its toll on many areas of the body – and our upper arms are no exception. If there is excess fat in the upper arm, it will often drop and become flabby.
For women with excess fat in their upper arms, tumescent liposuction can be a godsend that takes years off of their appearance. Dr. Ali is an Oakland County board certified plastic surgeon who has helped hundreds of women in Oakland County love their arms again with affordable tumescent liposuction of the upper arms. And, to combat any remaining loose skin, AMAE also offers the newest and most advanced treatments in skin tightening, including revolutionary Profound radiofrequency microneedling.
Not only can arm liposuction make your arms smaller, it can give them a slimmer, smoother, sexier shape – so you no longer have to constantly hide beneath long sleeves!
How Arm Liposuction is Performed
A very thin tube (micro-cannula) is inserted into the fatty area through a tiny incision. Only local anesthetic is used, and the patient is not “knocked out” – which makes the procedure very safe. No stitches are needed and there is no scarring. The surgeon gently and skillfully moves the cannula slowly back and forth to break up the unwanted fat cells. Then the fat cells are sucked through the cannula and out of the body.
The entire arm liposuction typically takes under an hour. However, if additional areas of the body are also done, the liposuction process will take longer. Patients are allowed to go home shortly after the procedure.
You will be given specific instructions about wearing a compression sleeve afterwards – as well as what medications you can take for any pain. However, many women find that the discomfort is minimal and pain medication is not even needed after arm liposuction.
The actual results are “immediate” (because the fat has been sucked out) – but you may not be able to see the complete results of the slimming and contouring until the swelling gradually subsides over the next few days up to a month or so.
Upper Arm Liposuction Benefits
Liposuction can remove inches from your arms. After arm liposuction you will also have a more proportionate appearance in your arms – so your upper arms will be closer in size to your forearms. Both the loss of inches, and the better proportions, will make your arms look longer, smoother and more slender.
You will finally feel more comfortable with your arms, so you can enjoy wearing sleeveless tops and dresses – and even bathing suits! And, because the body has a fixed number of fat cells, liposuction fat removal is permanent – and the removed fat cells will never return in the treated areas.
NonSurgical Arm Fat Reduction
For patients with less arm fat to remove, non-invasive CoolSculpting can be an effective alternative to liposuction. CoolSculpting freezes the fat in the upper arms, destroying the fat cell. Once the fat cells are killed they are eliminated by the body over time through natural processes.
CoolSculpting results are also permanent – and can result in fat reduction of up to 25% in the treated area – all with no exercise, no dieting and no downtime. While CoolSculpting has some moderate skin tightening benefits, it can also be combined with our advanced radiofrequency skin tightening procedures.
Surgical Arm Fat Reduction
For patients with more substantial amounts of arm fat or sagging arm skin, a surgical arm lift (brachioplasty surgery) may be the best treatment. Brachioplasty surgery involves an incision under the armpit that may extend down the length of the arm. The circumference of the upper arm is reduced, fat is removed and (if necessary) excess skin is cut off. The area is then closed with stitches. While arm lift surgery is more invasive, requires anesthetic, and does leave some scarring, it offers exceptional skin tightness and definition.
Arm Liposuction Considerations
If you have excess arm fat in your twenties or thirties, it tends to get worse in your fifties or sixties. Catching it before the skin has gotten to loose is important. So, if you are considering liposuction or an arm lift it is wise to see an experienced plastic surgeon like Dr. Ali as soon as possible, rather than waiting.
Additionally, the accumulation of upper arm fat is usually accompanied by “back fat” or “bra rolls”. When performing upper arm liposuction, Dr. Ali will also examine the area just behind your armpits, as well. To ensure a smooth contour and better proportions from the woman’s back to her arm, he may also recommend some lipo in the back area.
Arm Liposuction – Birmingham & Troy Michigan Area
Dr. Ali has helped hundreds of women in Troy, Birmingham, West Bloomfield, Southfield and across Oakland County look younger and feel better about their appearance with tumescent arm liposuction. He will be happy to offer you a consultation to help you understand your options. Dr. Ali will consider all aspects of your body proportions, the amount of fat, your lifestyle, your age and your goals in order to recommend the best arm fat removal treatment for you.
Look slimmer and younger – and enjoy sleeveless clothing again – with tumescent arm liposuction or one of our other fat removal or skin tightening procedures. And remember, liposuction financing options are also available!
Arm Liposuction Consultation: 248-335-7200
4 Effective Ways to Get Rid of Pubic Fat
/in CoolSculpting, Liposuction /by adminPubic Fat Reduction and Skin Tightening for Men & Women
Fat in the pubic area can undermine a woman or man’s self-confidence in the bedroom during those intimate moments. But, unfortunately, the “pubic mound” is among the most difficult areas from which to lose fat. And, while lifestyle adjustments like dieting and exercising are important to losing weight, they simply can’t do very much to trim and tone the pubic area.
This is because – while we can control (to some extent) how much weight we lose – we have absolutely no control over where fat loss occurs on our body. And, arguably, no area is more diet-and-exercise-resistant than the pubic area.
The good news is that there are a variety of medical pubic fat reduction solutions available at AMAE Plastic Surgery and Med Spa in the Detroit area. We offer four advanced non-surgical and surgical pubic fat reduction and toning procedures. In this article, we’ll discuss how a thinner, more toned pubic area can now be a reality for anyone.
Liposuction to Remove Pubic Fat
Out of the many pubic fat reduction options available to our Detroit area patients, liposuction is perhaps the most popular. By gently removing excess fat from the pubic mound, liposuction is a safe and effective means of attaining thinner pubic area. Lipo is invasive than pubic lift surgery and also has a shorter recovery time.
Through the use of tiny tubes called micro-cannulas, board certified Troy, MI area plastic surgeon gently dislodges fat from the treatment area. The micro-cannulas then suck the fat from the pubic area, resulting in a thinner and more attractive pubic area.
Typically, lipo pubic fat reduction procedure requires only light anesthesia. And liposuction patients are afforded a thinner pubic area with only a few days of downtime – far less than with pubic lift surgery.
CoolSculpting to Get Rid of Pubic Fat
CoolSculpting for pubic fat reduction is a completely non-invasive, non-surgical method of obtaining a thinner pubic area. Unlike liposuction, which simply removes unwanted fat via suction, CoolSculpting instead freezes and kills the unwanted fat cells in the treatment area. In the weeks that follow, the destroyed fat cells will die, collapse, and be naturally eliminated from the body.
While highly effective at getting rid of fat, CoolSculpting does not result in the body contouring produced by liposuction. And, while CoolSculpting is a safe and effective way to get thinner pubic area – with no downtime – it takes a few weeks for the pubic fat reduction results to become visible.
Additionally, while liposuction and pubic lift surgery provide pubic fat reduction with just one procedure, CoolSculpting delivers peak results through a series of multiple treatments.
Profound for Tighter, Toned Pubic Area
Sagging skin is another issue in the pubic area that can make a man or woman feel unattractive during intimacy. But when performed on its own – or in combination with fat loss from lipoor CoolSculpting –amazing new Profound radiofrequency skin tightening can help patients achieve firm toned pubic area!
This revolutionary pubic mound tightening procedure is as safe and effective as it is groundbreaking. Using radiofrequency energy, Profound RF skin tightening is able to deliver incredible, toned results completely non-surgically. With results that last, patients can say goodbye to sagging, lax, or loose skin in the pubic area.
Pubic Lift Surgery to Get Rid of Pubic Fat
Unlike the other less invasive pubic fat reduction procedures, pubic lift surgery (monsplasty) is more invasive – but also delivers the most dramatic results. Somewhat like a “tummy tuck for the pubic mound” this is an extremely effective, way to get thinner pubic area as well as tighten or remove loose skin on the pubic mound.
During pubic lift surgery an incision is made under anesthetic, and Dr. Ali removes fat and surgically reshapes and tightens the tissue. He will also remove excess outer skin, re-drape it, and pull it tight to offer a smooth toned pubic mound.
If needed support sutures will be placed in the underlying tissues to ensure that the new shape of the pubic area permanently remains in place. Then, Dr. Ali will close the skin incisions with sutures. Dr. Ali will take great care to make incisions as small an unnoticeable as possible – often placing them in areas that will be masked by clothing and bathing suits.
Pubic Fat Removal – Detroit Area
Whether you’re looking to get rid of stubborn pubic fat or to simply tighten the skin of your pubic area, we have the solution you need. Board certified cosmetic surgeon Dr. Ali is skilled and experienced in remodeling and reducing pubic areas in men and women so that you are confident and proud of your body.
Contact AMAE Plastic Surgery and Med Spa today to schedule a discreet and confidential consultation – and take the first step on your journey to feeling confident in your own skin again!
Pubic Fat Removal | Detroit Area: 248-335-7200
Men’s Facial Fillers for a More Masculine Face
/in Facial Filler /by adminMen’s Injectables: a More Masculine Face, Chin, Nose & Jaw
For decades, injectable facial fillers have been most associated with women for plumping lips and smoothing wrinkles. But as filler technology has evolved, more men than ever are getting injections to achieve sharper cheekbones and a more defined “masculine” jaw.
The first generation of facial fillers first came into use in the 1980s. Made from actual bovine (cow) collagen, early fillers offered a crude way to fill wrinkles – but they didn’t do much but add volume to the face. But over the last several years, more advanced facial filler technology and has given doctors the tools to plump as well as reshape the face. Facial fillers can now be used to straighten out a brow, smooth a nose, define cheekbones, and strengthen a jawline or boost a receding chin.
The Stigma is Gone for Men’s Facial Fillers
Thankfully, there is now less judgement in society surrounding men getting cosmetic procedures such as facial fillers. While the percentage of male patients getting facial fillers varies from state to state, most plastic surgeons and aesthetic physicians in metropolitan areas like Los Angeles, New York and Detroit report that about 20% of their dermal filler patients are now men.
According the American Society of Plastic Surgery, in 2020 alone 118,614 men received soft tissue fillers. And, thanks to the proliferation of Zoom meeting and social media usage, men now have even more reason than ever consider facial fillers.
A recent article by The Smithsonian reported that men who are perceived as “handsome” make on average 13 percent more during their career than men considered less attractive in the same position. That article also went on to say that quarterbacks considered “hot” earn 12 percent more than so-called “homely” quarterbacks. That article further noted that studies have revealed attractive people are also more likely to be hired.
What is a “Masculine” Face?
Compared to feminine looking faces, a face considered classically masculine will have more prominent and angular facial features. While genetics influence the way a man’s facial bone structure develops, testosterone is the primary reason behind masculine facial features.
Some of the more obvious facial features commonly considered masculine include a prominent or “strong” chin and a square jawline with a more pronounced definition at the “gonial angle” (the angle of the jaw next to the earlobe). And, masculine cheeks usually have a sharper, angular appearance than a woman’s soft “apples”.
But the forehead makes up 35% to 40% of the surface area of the face – so it can also play an important role in how masculine a man’s face is. A prominent supraorbital ridge (bone under the eyebrows) with straighter eyebrows is also manly.
Finally, a stronger nose that is straight or with a dorsal hump (‘bump’ on the bridge) is considered more masculine than a small nose that curves upward at the tip.
Men’s Facial Fillers for a Masculine Appearance
Recent research has shown that more than 50% of men would like to reshape their chin and jawline.
The Juvéderm family of facial fillers has advanced formulas that are a great choice for men seeking a stronger, more pronounced chin.
Juvéderm aw fillers are a thicker consistency of dermal gel that can be used not just to “fill” but to shape and contour the jawline. In addition to increasing definition in the jaw line, men’s facial fillers can decrease the appearance of sagging skin, as well as reduce fine lines and wrinkles.
Kybella injections can also be used to permanently “dissolve” and eliminate fat cells in the double chin. Typical male Kybella patients see a 50% reduction in ‘double chin’ fat after just two sessions, and 70% reduction after four treatments – typically spaced one month apart.
Dermal fillers can also be used to shape and contour a man’s brow or nose – without surgery and with no downtime – to enhance his masculine appearance.
Men’s Facial Fillers – Troy, MI Area
If you are a man in the greater Troy, MI area who would like to improve the proportions and angles of your face to look more masculine, facial fillers may be the solution you need!
Schedule a discreet and confidential consultation with board certified plastic surgeon Dr. Ali at AMAE Med Spa in Birmingham, MI and he will show you what dermal fillers can do for your face, jaw, nose or chin – for a younger, better looking, more masculine looking you!
Men’s Facial Filler Consultation – Troy, MI Area 248.335.7200
Why Rosacea is Misdiagnosed in Black Patients
/in Skin Care /by adminDiagnosing & Treating Rosacea on Black Skin
Rosacea is famously difficult to diagnose, but in people of color rosacea can be even more problematic to identify. While many physicians have little experience with darker skin, Dr. Ali has been helping patients with melanin-rich skin receive the best diagnoses and most advanced and appropriate skincare treatments for more than 3 decades.
In this article he discusses the challenges of treating rosacea in Black and brown skin.
What is Rosacea?
Rosacea is a puzzling skin condition that causes chronic flareups of inflammation in more than 14 million people in the U.S. Yet medical science still does not understand completely what cause rosacea. Misinformation about rosacea is also constantly disseminated, making it even harder to treat properly. And myths about rosacea include untruths such as “it’s just blushing,” “it’s an allergic reaction,” or “only white people get rosacea”.
But the truth is the symptoms of rosacea are the same, regardless of skin color or ethnicity. Although its characteristic redness may be harder to see on brown or Black skin.
Rosacea is an inflammatory condition most commonly seen on the cheeks and nose, that consists of tiny broken blood vessels. Other rosacea symptoms include skin sensitivity, swelling, and changes in skin texture.
Why Rosacea is Misdiagnosed in Black Patients
On light or Caucasian skin, rosacea is characterized by a very red appearance (medically call erythema) – hence its descriptive name “rosacea”. But the flushing of rosacea can present as a violet, purple, or even a dusky brown hue on Black skin. This is because the melanin in dark skin tends to mask the redness. As a result, more subtle appearing rosacea often gets missed or and misdiagnosed on Black patients.
And in medical textbooks, the majority of the images for rosacea only show it on lighter skin – further perpetuating confusion about its prevalence on Black individuals.
Additionally, rosacea often presents differently on different people. Some patients just have redness while other shave pustules. So, some types of rosacea can look extremely similar to other skin conditions, especially acne. Especially in darker-skinned individuals, rosacea often appears as inflamed bumps and pus-filled pimples – leading to the incorrect diagnosis and improper treatment.
For example, if someone with rosacea is diagnosed with acne, powerful retinoids, salicylic acid and benzoyl peroxide may be prescribed. And while these treatments can improve acne breakouts, they can easily make rosacea-prone skin worse.
Diagnosing Rosacea on Black Skin
When clinically diagnosing rosacea on dark skin, a thorough physical examination of clean bare skin needs to be conducted in high light. The eyes can also be a clue to rosacea, as rosacea can gradually affect the eyes, leaving them itchy, dry, or watery.
It is essential to diagnose rosacea on black skin as early as possible because if diagnosed later, there is a higher chance of additional complications such as hyperpigmentation or thickening of the skin on the nose. Late diagnosis can also lead to issues with vision.
Treating Rosacea on Black Skin
Regardless of the patient’s skin color, there is no definitive cure for rosacea. Symptoms tend to come and go. And rosacea treatment involves combining skin care, medications, and lifestyle adjustments (such as avoiding certain known triggers). But the good news is that rosacea is manageable in people of all skin tones and colors under a specialized doctor’s care.
Skin Care Products for Black Rosacea Patients
A skin care regimen incorporating hydrating and replenishing ingredients such as niacinamide, hyaluronic acid, and ceramides can help restore the skin’s compromised barrier – while avoiding abrasive scrubs and over-cleansing. Daily application of an SPF 30 or higher is important, too.
These products should be medically developed clinical grade products like those offered in our office by EltaMD and in our online stores by Zo Skin Health and Alastin. EltaMD Barrier Renewal Complex, Alastin HydraTint Pro Mineral Broad Spectrum Sunscreen SPF 36 and Zo Skin Health Rozatrol® are a few of the products we offer our rosacea patients. We can help you determine the right skincare products during your consultation.
In Office Treatments for Black Rosacea Patients
Carefully selected in-office treatments can also reduce the inflammation and pustules of rosacea. However, treatments for Black patients must be carefully chosen – because not all treatments are safe for melanin-rich skin.
For example, Fraxel laser can be used to reduce rosacea flareups in light skinned patients – but are not safe for darker skin tones. Lasers like Fraxel and CO2 can be dangerous for dark skin because they are “ablative” (take off the top layer of skin) which can result in permanent hyperpigmentation when used on darker complexions.
However, at AMAE in the Detroit area we offer non-ablative treatments that are safe for darker skin – including Gentle but powerful “DiamondGlow” that uses the power of water pressure to clear out pores and infuse customized serums. Certain specially formulated medical-grade facials can also be applied to sooth the inflammation and eliminate the pustules of rosacea.
Rosacea Treatments for Black Skin
Renowned Detroit area plastic surgeon Dr. Ali has been successfully treating people of color for decades. In fact, Dr. Ali is of middle eastern decent himself and his own skin is brown. He understands the unique needs and concerns of Black skin and help you choose the rosacea products and treatments that are ideal for your unique skin.
At AMAE in the Troy, MI area each appointment begins with a professional skin consultation. Rosacea treatments and products are then carefully selected and customized to meet the specific needs of each client’s unique skin.
Dr. Ali and our nurses and aestheticians offer the absolute best technologies in skin care – including state-of-the-art rosacea products and treatments. Schedule a consultation to see which treatment is best for your skin’s color, type and condition. Then relax in our Troy, MI area Med Spa, while we make you look and feel younger and even more beautiful!
Rosacea Treatments for Black Skin: 248.335.7200
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