Efficacious and Safe Cosmetic Procedures in Skin of Color

The number of cosmetic procedures being performed on persons with skin of color is increasing; therefore, an understanding of the indications and factors affecting the successful use of such procedures in this population is essential. This paper reviews experiences with the most commonly performed procedures including chemical peeling, microdermabrasion, botulinum toxin injections, and dermal fillers. The available evidence suggests that most of the aforementioned are as effective in persons with skin of color as in white individuals and that, provided attention is paid to patient selection and appropriate indications, they can be considered safe in most persons with skin of color.