For caucasians, it’s wrinkles and age spots
Juta/Shutterstock“My caucasian patients tend to commonly present in their early 30s with wrinkles—particularly around the eyes or glabella (between the eyebrows),” says board certified dermatologist Manjula Jegasothy, MD, founder of Miami Skin Institute, who has been treating ethnically diverse patients for 20 years. “This is easily treated with Botox in the 30s and early 40s.” She also suggests adding light radiofrequency treatments in the mid to late 40s to help with thin skin laxity in the upper face. Sun damage—resulting in brown spots and blotchiness—is another common complaint. She suggests getting a jump start in the early 20s and 30s with pyruvic, salicylic, and glycolic acid peels. Try: Dr. Dennis Gross Skincare Alpha Beta Universal Daily Peel and BeautyRx by Dr. Schultz Advanced 10% Exfoliating Pads. Patients in their late 30s and older—and those with more severe damage—should consider in-office IPL photofacials. This is how your skin ages through every decade of your life.
For African Americans, it’s pigmentation
michaeljung/ShutterstockAccording to Dr. Jegasothy, the most common complaint among African American patients is pigmentation. In cases when the skin is not homogeneously colored and lightening is required, she recommends a very light chemical peel geared toward darker skin. (Just make sure to read this before you get a chemical peel.) “I always advise my African American patients that their skin is the most sensitive and they should see a board-certified dermatologist who is well versed in treating darker complexions, so that the treatment does not burn them, as any sort of long-term inflammation can cause long-term hyper- or hypo-pigmentation.” Another common complaint: Skin laxity in the lower face and neck. For this, she recommends treatment with Platelet-Rich Plasma, which has become more popular in aesthetic medicine in the last couple of years. “I draw the patient’s blood, spin it down in a centrifuge machine, which breaks open platelets and extracts the growth factors into the plasma, and inject that into the lower face and neck.” According to Dr. Jegasothy, the hour-long procedure does a great job of tightening loose skin and results last up to a year. Don’t miss these expert-approved, anti-aging secrets.
For Latinas, it’s scarring
Click-Images/ShutterstockThe majority of Dr. Jegasothy’s patients are Latina, and the culture is very focused on body image. “I find that these patients are much more focused on non-surgical treatment of scars,” Dr. Jegasothy says. For best results, scars should be treated as soon as possible—within the first two years; ideally as early as three weeks after the incision has healed—with a combination of Vbeam and Fraxel laser. Since Miami is a city with warm temperatures year round, her Latin American patients tend to be more concerned with skin laxity issues and cellulite—particularly on the thighs and…