Not all skin reacts the same way to a procedure. Dark, black and Asian skin types have their own characteristics. I take them into account at every stage, from the consultation to the follow-up of the scars.
What changes with the skin
Darker skin contains more melanin. It reacts more strongly to any aggression.
- Healing can be more active. The risk of a thick (hypertrophic) scar or a keloid is higher, especially on the chest, the shoulders, the earlobe and the chin.
- Pigmentation can change around a scar or after a skin treatment. A darker or lighter patch may appear and persist for several months.
- The dermis is often thicker. It hides the underlying relief more, which influences the choice of techniques, in particular on the face.
These characteristics are not a contraindication. They require adapted preparation and follow-up.
Precautions before the procedure
During the consultation, I examine your skin and I look for the elements that guide my strategy:
- your existing scars, even old ones, including piercings and acne marks;
- your history of keloids, and that of your family;
- how your skin usually reacts to wounds, pimples or sunburn.
For aesthetic medicine (peels, laser), I choose gentle protocols adapted to your skin phototype.
During and after
In the operating room, I limit the tension on the edges of the wound and I place the scars in the natural folds whenever possible. The sutures are made with fine threads and a deep layer that supports the skin.
After the procedure, the follow-up of the scars is essential:
- an UrgoTouch laser treatment, already offered at the practice, can be performed at the end of the procedure to support healing;
- silicone dressings or compression may be prescribed;
- strict sun protection is necessary for several months;
- if a scar thickens, an early treatment can be started, such as local corticosteroid injections.
I see you regularly to monitor how your scars evolve.
Respecting features and proportions
There is no single model of beauty. A facelift or eyelid surgery does not aim to make faces uniform. I look for harmony between your features, with respect for your morphology and your identity.
Together we define a realistic goal, adapted to your skin and to the structure of your face or body.
In consultation
Every project starts with a consultation. I listen to your request, I examine your skin and I inform you about the specific risks and the care to plan. A second consultation is required before any surgery.
The SOFCPRE information sheet for your procedure is given to you during the consultation.