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
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.
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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