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People of color comprise approximately 47% of the US population; more than half of the population growth is owing to people who identify as Hispanic, and the Asian population grew faster than any other ethnic group between 2000 and 2010. The white population of the United States is projected to be in the minority by 2044.1 A recent survey by the American Society for Aesthetic Plastic Surgery indicates that ethnic minorities constituted nearly 22% of patients undergoing cosmetic procedures in 2014, and this percentage is increasing.2 Despite these statistics that project a growth in demand for cosmetic procedures by dark-skinned individuals, there is a paucity of literature regarding the treatment of these patients. In this issue of JAMA Facial Plastic Surgery, Harris and Sundaram3 add to the body of literature by demonstrating the safety of microfocused ultrasound in patients with higher Fitzpatrick skin types.
Arosarena O. Options and Challenges for Facial Rejuvenation in Patients With Higher Fitzpatrick Skin Phototypes. JAMA Facial Plast Surg. 2015;17(5):358-359. doi:10.1001/jamafacial.2015.0965