Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty
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ORIGINAL ARTICLE
AESTHETIC
Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty Steven Liew1 • Woffles T. L. Wu2 • Henry H. Chan3 • Wilson W. S. Ho4 • Hee-Jin Kim5 • Greg J. Goodman6 • Peter H. L. Peng7 • John D. Rogers8
Received: 16 June 2015 / Accepted: 12 August 2015 / Published online: 25 September 2015 The Author(s) 2015. This article is published with open access at Springerlink.com
Abstract Background Asians increasingly seek non-surgical facial esthetic treatments, especially at younger ages. Published recommendations and clinical evidence mostly reference Western populations, but Asians differ from them in terms of attitudes to beauty, structural facial anatomy, and signs and rates of aging. A thorough knowledge of the key esthetic concerns and requirements for the Asian face is required to strategize appropriate facial esthetic
This article is being reprinted for ISAPS 50th Anniversary Special Issue. On behalf of the Asian Facial Aesthetics Expert Consensus Group, the members of Asian Facial Aesthetics Expert Consensus Group are given in Appendix & Woffles T. L. Wu [email protected] 1
Shape Clinic, Sydney, Australia
2
Woffles Wu Aesthetic Surgery and Laser Centre, Camden Medical Centre, 1 Orchard Boulevard, Suite #09-02, Singapore 249615, Singapore
3
Department of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong
4
The Specialists: Lasers, Aesthetic and Plastic Surgery Central, Pok Fu Lam, Hong Kong
5
Division of Anatomy & Developmental Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Korea
6
Monash University, Clayton, Victoria, and Skin & Cancer Foundation, Carlton, VIC, Australia
7
P-Skin Professional Clinic, Kaohsiung, Taiwan
8
Regional Medical Affairs, Allergan Asia Pacific, Singapore, Singapore
treatments with botulinum toxin and hyaluronic acid (HA) fillers. Methods The Asian Facial Aesthetics Expert Consensus Group met to develop consensus statements on concepts of facial beauty, key esthetic concerns, facial anatomy, and aging in Southeastern and Eastern Asians, as a prelude to developing consensus opinions on the cosmetic facial use of botulinum toxin and HA fillers in these populations. Results Beautiful and esthetically attractive people of all races share similarities in appearance while retaining distinct ethnic features. Asians between the third and sixth decades age well compared with age-matched Caucasians. Younger Asians’ increasing requests for injectable treatments to improve facial shape and three-dimensionality often reflect a desire to correct underlying facial structural deficiencies or weaknesses that detract from ideals of facial beauty. Conclusions Facial esthetic treatments in Asians are not aimed at Westernization, but rather the optimization of intrinsic Asian ethnic features, or correction of specific underlying structural features that are perceived as deficiencies. Thus, overall facial attractiveness is enhanced while retaining esthetic characteristics of Asian ethnicity. Because Asian pati
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