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Cosmetic Procedures Current Cosmetic Procedure Topics

Saving Face: Ethnic Concerns in Plastic Surgery


Author:

Karen Barrow

Medically Reviewed On: June 01, 2005

Tuck, lift, nip, reshape, reduce, suck, enlarge, implant, inject and peel—plastic surgery is everywhere these days. Whether it's being broadcast from your TV or advertised in a magazine, the word is out that cosmetic procedures are no longer just for the rich and famous. Now, more and more African Americans are seeking a surgical solution for their physical foibles.

But are all noses created equal? The role of ethnicity when seeking physical perfection is what has prevented African Americans from seeking plastic surgery for years; many feared that their features would look "too white." But with increased awareness about ethnic concerns and new procedures that cater to the inherent differences in darker skin, blacks can finally consider changing their nose or lips or eyes, without cutting off a piece of their heritage.

"Most are realizing that plastic surgery can be done without feeling like you're trying to change your ethnicity," says Julius Few, MD, FACS, assistant professor at the Northwestern University Feinberg School of Medicine, "And it can really be done as a procedure that enhances your ethnicity without taking away from it."

A Lift in Surgeries
In 2004, there were about 461,000 cosmetic and reconstructive procedures performed on African Americans in the United States. And while this only makes up 5 percent of the total number of procedures done across the country, it represents a 24 percent increase in procedures done on African Americans from 2000.

"In many ways, people are realizing that plastic surgery is not just for extreme kinds of indications," says Dr. Few, "rather, people can actually come to a plastic surgeon with reasonable issues that they wish to have improved, and that it is actually something that is both affordable and can be performed very safely."

The most popular major cosmetic procedures requested by African Americans are nose reshaping, breast reduction and liposuction. Interestingly, this does not deviate much from the general population, with the exception that more women, in general, seek breast augmentation as opposed to a reduction. However, the trend is not just reserved to women.

"Women still make up the majority of patients, but we're seeing a steeper rise in the number of men getting plastic surgery done," says Anthony Griffin, MD, FACS, member of the American Society of Plastic Surgeons and a featured surgeon on the television show, Extreme Makeover.

Reducing Scarring
The rise in African Americans seeking plastic surgery has signaled a change in the industry to a certain extent. As demand grows, plastic surgeons are compelled to understand the differences in an African American face and the complications that impact darker skin more so than lighter skin.

"Most people of color are concerned, and rightly so, about abnormal scarring, keloids and so forth," says Dr. Griffin.

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