Invited Update: Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty and Consensus on Current Injectabl
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Invited Update: Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty and Consensus on Current Injectable Treatment Strategies in the Asian Face Woffles T. L. Wu1
Published online: 5 August 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Dear Dr Guyuron It gives me great pleasure, on behalf of my co-authors, to write this update of our two 2016 papers, ‘‘Consensus on changing trends, attitudes, and concepts of Asian Beauty’’ and ‘‘Consensus on Current Injectable Treatment Strategies in the Asian Face’’ for the upcoming 50th Anniversary edition of Aesthetic Plastic Surgery. We are indeed gratified that they were amongst the most highly referenced articles in the journal’s history. At the time these articles were written, there were no other papers documenting clearly what Asian people really desired when they sought aesthetic improvement. As Asians comprise over 4.2 billion or 59% of the world’s population, we felt our western colleagues needed to be familiar with the true aesthetic goals of Asian patients as understood by Asian doctors. So we set out to define through survey and consensus, what these aesthetic wishes are and the preferred means for achieving these goals. The first striking observation we acknowledged as a group, was that our Asian patients did not want to look Caucasian, which helped us debunk the long-held myth that Asians had to or wanted to look Caucasian in order to be considered beautiful. The second observation was that while older Asians are more focused on facial rejuvenation procedures that restore a more youthful countenance, young Asian patients whose numbers are significant, desire procedures that correct perceived facial structural deficiencies in order to improve facial proportions, balance and harmony.
& Woffles T. L. Wu [email protected] 1
Camden Medical Centre, 1, Orchard Boulevard, Suite 09-02, Singapore 248649, Singapore
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The third significant observation was that both groups of patients preferred if possible, non-surgical alternatives, thus throwing the spotlight on botulinum toxin type A and facial filler injections and their constant evolution to become more versatile tools for us. In the mid-1980s as a junior plastic surgeon in Singapore, we were very much dominated by western teachings and ideals of beauty. A decade or two prior to my commencement of training, plastic surgery was becoming more popular in Asia, led by surgeons in Japan, Taiwan, Thailand, Korea and Singapore. Many of these surgeons had been trained in or influenced by the West. But it was an odd type of plastic surgery. Double eyelids were too high and sunken, and noses were also raised and pointed, projecting abnormally from a flat facial plane and chins were unusually sharp and exaggerated. In short, these overly westernised features did not belong in an intrinsically Asian face. Instead of becoming objects of beauty, many of these Asian patients become caricatures of themselves—objects of ridicule and
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