Approaching aesthetic concerns among Hispanic, Latino patients
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Key takeaways:
- Younger women identifying as Hispanic or Latino were most bothered by submental fullness, skin dullness and dark under-eyes.
- Women aged 50 years and older were most bothered by sagging skin and glabellar lines.
CHICAGO — Women that identify as Hispanic or Latino may have different aesthetic concerns compared with white patients, according to a presentation at the American Society for Dermatologic Surgery Annual Meeting.
“When we look at minority subgroups — Asian, Hispanic, African American — compared to our Caucasian counterparts, what are the differences?” Sabrina Fabi, MD, volunteer assistant clinical professor at Cosmetic Laser Dermatology in San Diego, said during her presentation. “What is it that is bothering them that perhaps we’re missing, so we can be more sensitive to the considerations that they have when they come in and we’re not imparting what we generally impart based on the majority of the U.S. demographic.”
Fabi discussed results of an online survey administered in early 2022 to 3,974 adults, 748 of which identified as Hispanic or Latino and as women.
The majority of respondents identified as older millennials (33%) or Generation X (40%) whereas the remaining were Generation Z/young millennials (16.7%) or baby boomers (10.3%). Fitzpatrick IV was the most reported skin type of respondents (56%) followed by III (24%), V (16%), II (4%) and VI (1%).
Also, participant BMIs included 11% with a BMI of less than 18.5 kg/m2, 42% with a BMI between 18.5 kg/m2 and less than 25 kg/m2, 27% with a BMI between 25 kg/m2 and less than 30 kg/m2 and 21% with a BMI of at least 30 kg/m2.
Participants identified which characteristics they had and found bothersome from 41 facial and 31 body characteristics. One of the most bothersome concerns was dark under-eye circles, according to Fabi.
“There’s generally a flatter maxilla when it comes to the Hispanic subgroup. ... Of course, that base of the orbit is weaker to begin with, so they’re going to naturally see that go as a function of age,” Fabi said.
Respondents also reported an issue with submental fullness.
“[Hispanic individuals] generally have more of a mesomorph face and it’s generally square, boxier,” Fabi said, explaining that since most of the respondents reported a higher BMI, it was natural that facial fullness would be their second most common complaint.
When broken down by demographic, younger respondents largely complained of submental fullness, a lack of glow to their skin and dark circles under their eyes, whereas respondents aged 50 years and older reported issues with sagging skin jowls and glabellar lines.
“Unlike our Caucasian counterparts, where lines and wrinkles are generally what bothers them first, this subgroup is not bothered by them as much until after 50,” Fabi said. “So maybe neuromodulators are not where you go to first specifically for their concerns.”
Fabi closed her presentation recommending that if dermatologists would like to grow their practice for the Latino population, taking these results into consideration may be beneficial.
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Fabi S. Aesthetic concerns regarding face and body appearance among Hispanic and Latino women: Results from Hispanic and Latino female-identifying participants of a large survey of aesthetically-inclined adults in the US. Presented at: American Society for Dermatologic Surgery Annual Meeting; Nov. 1-5, 2023; Chicago.
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