For caucasians, it's wrinkles and age spots

Juta/Shutterstock"My caucasian patients tend to commonly present in their early 30s with wrinklesparticularly around the eyes or glabella (between the eyebrows)," says board certified dermatologist Manjula Jegasothy, MD, founder of Miami Skin Institute, who has been treating ethnically diverse patients for 20 years. "This is easily treated with Botox in the 30s and early 40s." She also suggests adding light radiofrequency treatments in the mid to late 40s to help with thin skin laxity in the upper face. Sun damageresulting in brown spots and blotchinessis another common complaint. She suggests getting a jump start in the early 20s and 30s with pyruvic, salicylic, and glycolic acid peels. Try: Dr. Dennis Gross Skincare Alpha Beta Universal Daily Peel and BeautyRx by Dr. Schultz Advanced 10% Exfoliating Pads. Patients in their late 30s and olderand those with more severe damageshould consider in-office IPL photofacials. This is how your skin ages through every decade of your life.

Click-Images/ShutterstockThe majority of Dr. Jegasothy's patients are Latina, and the culture is very focused on body image. "I find that these patients are much more focused on non-surgical treatment of scars," Dr. Jegasothy says. For best results, scars should be treated as soon as possiblewithin the first two years; ideally as early as three weeks after the incision has healedwith a combination of Vbeam and Fraxel laser. Since Miami is a city with warm temperatures year round, her Latin American patients tend to be more concerned with skin laxity issues and celluliteparticularly on the thighs and buttocks, the areas that show in shorts. For both of these issues, Dr. Jegasothy recommends radiofrequency treatments with the Viora laser. Ever wondered why is cellulite so dang hard to get rid of?

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Dragon-Images/Shutterstock"My AsianChinese, Japanese, and Koreanpatients are interesting because they are very concerned with trying to become an idealized version of a caucasian with features common in the Asian press," says Dr. Jegasothy. As such, the most common Botox procedure she performs on her Asian patients is softening the jawline muscle to create a more oval or round appearance. Another common beauty request of her Asian patients is for their facial skin to be as fair as possible. To this end, she does skin lightening chemical peels and topical herbal agents, such as SkinMedica Lytera 2.0 Pigment Correcting Serum as often as possible."

Prostock-studio/Shutterstock"I have been treating Indian patients for over 20 years, and by far the most common complaint is excessive hair on the face and body," notes Dr. Jegasothy. She stresses the importance of using the correct lasers and settings for the various skin tones, since those that are too strong can cause hyperpigmentation that can persist for up to a year. Her preference is the Candela GentleYag Laser. (Don't miss the 14 things you need to know before you get laser hair removal.) The second most common issue is dark under-eye circles. When patients are young, this can be successfully treated with mild cortisone creams and peptide eye creams, such as Neocutis Micro-Eyes. "As patients age, if they have hollowing along the orbital bone (which is the lower eyelid rim), and filler can make the under-eye circle seem less prominent." More often however, she finds that light Fraxel treatments (repeated every four to 12 months, depending on severity, genetics and age), can improve this situation enormously. These are the secrets to aging gracefully.

sruilk/ShutterstockAccording to Dr. Jegasothy, Middle Eastern patients primarily have the same issues as Indian patients: excess hair at an early age and dark under eye circles, which are treated in the same fashion. "In addition, Middle Eastern mores dictate that patients have a certain eyebrow type, which is quite plucked at an early age. As the trend today is toward fuller brows, I'm seeing more Middle Eastern patients in early to middle age who are looking for more eyebrow hair." For this, she recommends Latisse, a topical hair-growth serum available by prescription. Find out the best brows for your face shape.

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