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Section: Asian Skin and Hair Treatments

Asian Skin Anatomy and Healing

The skin consists of three main layers: the epiderms (E), the dermis (D), and the subcutaneous (F).

asian skin anatomy

Asian skin texture and thickness vary widely, but the dermis tends to be noticeably thicker and more fibrous, especially in those people with darker pigmentation. However, even Asian people with lighter milky skin tones tend to have greater collagen density than comparably pale non-Asians.

This higher collagen density in the dermis is associated with a more vigorous response to healing after injury or surgical incisions. Prolonged redness and scar thickness (hypertrophic scarring) are thus more common than in the Occidental population, even in Asians with light natural pigmentation.

Keloid formation may sometimes occur in thicker skin under prolonged tension after surgery, but it is rare in thin skin such as on the eyelids.

Traditional skin resurfacing with ablative (disruptive to the epidermis and sometimes dermis skin layers) lasers like the carbon dioxide laser or deeper chemical peels has generally been avoided due to unacceptably long healing times, more redness, uneven pigmentation, temporary overpigmentation, permanent underpigmentation, and scarring.

Newer non-ablative lasers and other energy sources such as pulsed light appear to be safer choices for less noticeable skin disorders.

Strict avoidance of direct sunlight, use of sunscreens, and use of bleaching agents may help to lessen the chance of irregular pigmentary outcomes after surgical skin incisions.

Careful wound cleaning, early removal of sutures, later moisturization, and, if indicated, injection of a weak steroid medication into the healing wound may help to lessen scarring. The effectiveness of over-the-counter commercial scar reducing products is not truly proven.


Next: Sun Damage and Sunscreens


More
on Asian Skin and Hair >

Skin and Hair Medical Treatment Overview
Introduction to Asian skin physiology and general care guidelines

Asian Skin Anatomy and Healing
Overview of skin structure and why Asian skin ages and heals differently

Sun Damage and Sunscreens
Selecting sun protection lotions, creams, and gels that actually work

Bleaching to Whiten Skin Color
Effective and safer lightening options for sensitive Asian skin

Laser Resurfacing & Chemical Peel
Issues relating to resurfacing procedures on darker Asian skin

Radio-Frequency Plasma Resurfacing
Deeper skin resurfacing with "cold" RF energy to lessen pigmentary risks

Non-Invasive Treatments
Spa-level treatments such as IPL, weak lasers, microdermabrasion, and more

Restylane, Juvederm, BOTOX ®
Injectable pharmaceuticals to modulate skin and muscle appearance and movement

Scalp, Face & Body Hair Transplants
Special issues related to Asian hair replacement on the scalp and body

Asian Skin and Scarring
Prevention of keloids and hypertrophic scarring in Asian skin

Tattoos and Laser Removal
Tattoo removal using the Q-switched laser to minimize scarring and skin pigment damage

Laser Hair Removal from Asian Skin
Removing unwanted hair from the face, neck, underarms, legs, and other areas



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Note: Information, observations, and opinions are offered for general reference only and should not be taken as medical advice or diagnosis.

Learn about Asian skin anatomy and healing