Procedures in Cosmetic Dermatology: Cosmetic Procedures in Skin of Color, 1st Edition

By: Andrew F. Alexis, MD, MPH

ISBN: 9780323831444

Publication Date: February 6, 2024

Reviewer: Patricia Wong, MD (Private Practice)

Description

This book attempts to inform dermatologists about the unique healing and reactive properties of richly pigmented skin that must be taken into consideration when performing cosmetic procedures for optimal outcomes.

Purpose

The purpose of the book is to make dermatologists, who perform cosmetic procedures on patients with darker skin types, aware of these differences so procedures can minimize dyspigmentation and scarring.

Audience

The audience is cosmetic dermatologists.

Features

The beginning chapters discuss how the skin barrier and melanosomes in skin types 4-6 differ from lighter skin colors and how this in turn affects skin reactivity and susceptibility to melanocytic inflammation. Choosing lasers with correct wavelengths and appropriate pulse durations are important parameters to heed to minimize dyspigmentation complications. The book recommends using lower chemical peel concentrations and selecting the proper time interval for repeat treatments for favorable outcomes when providing these approaches for facial rejuvenation and improving hyperpigmentation. Five videos demonstrate evaluation of a patient for tissue filler injections in the mid face and tear trough and application of trichloroacetic acid peel under the eyes. The videos would benefit showing the patient’s face in close-up so that the nasojugular trough can be seen more clearly. The narration of the injections could be more detailed with regards to what is being palpated and judged during the injection. Mentioning the size of the cannula and the needles would be appreciated. The discussions on ethnic facial differences in aging are helpful.

There are some illustrations showing complications from lasers.

Website Features

The online eBook is amply supplemented with references that can be accessed by clicking on the highlighted portions in the bibliography. You can immediately read the entire referenced article. It is easy to bookmark pages, make notes, and zoom on images.

Assessment

The index is thoughtfully organized. There are subtopics listed under the main subject that are intuitively described, making looking up topics a snap. This reference fills a previously ignored niche in cosmetic procedures. I highly endorse adding it to your dermatologic repertoire.

©Doody’s Review Service, 2024, Patricia Wong, MD (Private Practice), Doody’s Score: 93 – 4 Stars!

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