Skinside Out: Beauty Ethnicity & Cosmetic Surgery

By Elton Xavier Tinsley M.D.

Beauty is powerful. Beauty is physical, intellectual, emotional and spiritual. Beauty is obtainable. Skinside Out recognizes that every culture defines for itself what beauty is. Each contributor represents a different culture and cultural perspective.

The book was written for those that care for women and those that women care for. It is a valuable reference for health care professionals, salon professionals, doctor moms and regular people. Skinside Out was written for you. Skinside Out is 50 topics covered in 50 chapters.

The book answers questions, dispels myths and provides insight to cultural differences, old wives tales differ among Black and Hispanic grandmothers. The German family beauty secrets may be quite different from Asian family traditions.

The final chapter, Chapter 51, Sex is for Women explains the science that relates beauty to sex and offers everyone another level.

• Language: English
• Publisher: AuthorHouse
• Release date: Mar 4, 2020
• ISBN: 9781728365466

Elton Xavier Tinsley M.D.

It is with great pleasure that I share this book with you. It’s part art, part science, all fun and definitely useful. Dr. Tinsley is a plastic surgeon and ethnic skin researcher. When he graduated from medical school there was no internet, no pocket sized computers with cameras that allowed phone calls and no effort to accept that there are ethnic differences in skin. Prior to becoming a plastic surgeon he was a general surgeon, a burn surgeon and worked around the country as a trauma surgeon and emergency room physician. As he became more specialized in his practice he observed that different ethnic groups perceive beauty differently. His life work and this book reveal that beauty is not simply mathematical symmetry superimposed on Greco-Roman standards. Not anymore, at least.

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© 2020 Elton Xavier Tinsley, M.D. All rights reserved.

No part of this book may be reproduced, stored in a retrieval system, or

transmitted by any means without the written permission of the author.

AuthorHouse™

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Bloomington, IN 47403

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Phone: [phone]

Because of the dynamic nature of the Internet, any web addresses or links contained in this book may have changed

since publication and may no longer be valid. The views expressed in this work are solely those of the author and do not

necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.

ISBN: 978-1-4634-0933-3 (sc)

978-1-7283-6546-6 (e)

Library of Congress Control Number: 2019900242

Published by AuthorHouse 08/26/2020

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Contents

Introduction

1 Flawless Skin

2 Water

3 Total Body Detox

4 Products

5 Services

6 Skin types

7 Blemishes

8 Adult Acne

9 Menopausal Skin

10 Dark Under Eye Circles

11 Inherited Moles

12 Freckles

13 Sunblock

14 CBD

15 Wrinkles

16 Lasers

17 Face lifts

18 Botox

19 Fillers

20 Dandruff

21 Hair Removal

22 Female Hair Loss

23 Trichology

24 Microdermabrasion

25 Chemical Peels

26 Visible Scars

27 Keloids

28 Makeup

29 Eyelashes, Brows and Nails

30 Male Grooming

31 Weight Loss

32 Gaining Weight

33 Vitamins

34 Spider Veins

35 Split Ear Lobe Repair

36 Liposuction

37 Tummy Tuck

38 Breast Reduction

39 Breast Lift

40 Breast Augmentation

41 Breast Cancer Reconstruction

42 Male Breast

43 Cosmetic Gynecology

44 Bootyosis

45 Butt Lifts

46 Baggy Eyelids

47 Rhinoplasty

48 Wounds

49 Medispas

50 Surgery

51 Sex is for women

Epilogue

SKINSIDE OUT

BEAUTY ETHNICITY & COSMETIC SURGERY

Each culture defines for itself what beauty is

Introduction.jpg

Understanding requires honesty

Misunderstanding requires communication

Conflict requires apology and forgiveness

Confrontation requires retreat or declaration of war

And these are the rules of engagement

-Mildred Tinsley 1978

Introduction

It is with great pleasure that I share this book with you. It’s part art, part science, all fun and definitely useful. I am a plastic surgeon and ethnic skin researcher. When I graduated from medical school there was no internet, no pocket-sized computers with cameras that allowed phone calls and no effort to accept that there are ethnic differences in skin. My initial observations were related to differences in responses to injuries. Prior to becoming a plastic surgeon, I was a general surgeon, a burn surgeon and worked around the country as a trauma surgeon and emergency room physician. Back then Emergency Medicine did not exist as a specialty. We were known as moonlighters. I have not seen it all but I have definitely seen much more than most. I started with a truly intensely fascinating experience as a Cook County Hospital surgical intern and finished number one chief resident in the country in my area of specialty in plastic and reconstructive surgery. Yep, lil ol me, black guy from the Southside of Chicago graduated #1 in the country.

Those were the days. The Cook County surgical interns’ motto was we have done so much with so little for so long, we can do anything with nothing in no time at all. That was largely a Black experience. Through my studies around the country and as a member of a traveling foreign medical team, it was evident that different ethnic groups heal differently. As I became more specialized in my practice, I also noted that different ethnic groups perceive beauty differently. A Black woman that wants a nose job does not want a white nose. A Spanish woman seeking a butt lift may actually request a Black behind. That means there are ethnic perceptions of beauty. Beauty is not simply mathematical symmetry superimposed on Greco-Roman standards. Not anymore, at least.

There are published papers on the ideal hip-to-waist ratio of the buttocks by race. Nobody cares about the math but everybody cares about their butts these days. According to a recent survey the top 5 countries for cosmetic surgical procedures are #1 U.S.A., #2 Brazil #3 China #4 Japan and #5 Mexico. When looking at all procedures both surgical and nonsurgical the #1 procedure is Botox in the U.S., India, Germany and Canada and #2 is filler. The most common treatment worldwide is the treatment of wrinkles. What does that say about us? It tells me, that avoiding habits in our youth, that create wrinkles as we age, may save us a lot of money. Among the surgical procedures, Breast augmentation and liposuction make the top 5 in every country surveyed. When asked to rank the most important physical features in order of importance; eyes, lips, breasts, legs, butts, the majority of women ranked eyes number one but none of the men ranked eyes number one. What does that say?

Recognizing these ethnic differences, I have included a diversity panel to comment and contribute at the end of each chapter. I did not share the book with them because I did not want to bias their opinions. I only shared the topics by chapter in order. Guess how we communicated? You got it-Facebook. Another example of simple human genius. We have two Black women, one living in America and one living in German speaking Switzerland. We have a White woman living in America with roots in Europe. We have an Asian woman living in America who is part Philippian, part Chinese. We have a physician who was born in India and practices Medicine in Canada. We also have a Latina who is part Dominican, part Puerto Rican born in Puerto Rico living in America. Allow me to introduce the Diversity Panel of Skinside Out.

Asian American/ Living in America

Jackie Goco

Hello all, I’m Filipina. I work full time for a home health agency as an Intake coordinator and I am a full time Makeup Artist here in the Midwest! I have 3 kids, 2 girls who are full Asian (Filipina, Vietnamese, Chinese and a little Cambodian) and my son who is half Mexican. Excited to see what’s to come of the book and hopefully get some helpful tips along the way. Please feel free to ask me any questions if need be… Thanks!

European American/ Living in America

Jeanie Hangartner

Hi, I’m a white farm girl from central Illinois. I have lived in Chicago for about 16 years. I’m a physical therapist assistant and worked for 20 years in hospitals. I’ve recently left physical therapy and now manage a physician practice of 12 physicians doing wound care in nursing facilities. I meet Elton while selling a wound care product.

East Indian/ Living in Canada

Nilay Bhatt, M.D.

Hi, I am a doctor from Canada, born and raised in India. My family immigrated to Canada in 2004. I met Dr. Tinsley in Chicago during 3rd year of medical school. I plan to pursue a residency in primary care in USA and hopefully work with Dr. Tinsley in the future.

My grandparents were avid practitioners of Ayurvedic medicine. So I was exposed to the ayurvedic side of medicine from an early age. In this book, I have provided my input from an ethnic, cultural as well as medical standpoint.

Thanks.

African American/ Living in America

Nicole Moore

Hi, I’m an African American woman from Chicago. I currently reside in Indiana with my husband and two children. I am a 6th grade English Language Arts teacher. I found it interesting to contribute my perspective on beauty topics from a cultural aspect. Although I am no expert, I’m excited to be a part of such a unique project.

Afro-European/ Living in Switzerland

Angela Munson

Guten Tag Miteinander, I’m a black woman, born and raised on the South Side of Chicago. I moved to the German speaking part of Switzerland in 1990 with my family and I have lived just outside of Zurich since then. I have two sons, who we could call mixed-race. We actually got this term from American TV. I’m a Research assistant and I worked at the University Hospital in Zurich for the last 20 years. I just changed jobs (to a regional hospital in Winterthur) last February. I am interested to see how the 7-hour difference will affect my chatting.

Latin American/ Living in America

Olga Barrios

I am a 100% Latin girl. I was born and raised in Cali, Columbia. Both my parents are Colombian as well. I got my degree in Business Administration at the University Columbia. I came to America in 2001 at the age of 28. I got my MBA here in the United States. The first thing we did was create the company Equilibrium. Equilibrium is a company dedicated to design, manufacture, and distribute the most beautiful lingerie and control products from Colombia for the last 14 years.

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Chapter 1

Flawless Skin

In every Church I have ever been in, there are always 60-65 year-old women that look as good as the 40-45 year-old women. They have two things in common, they are close to ideal body weight and they have beautiful flawless skin. You don’t get beautiful skin at 60 if you start taking care of it at 59. Unlike senior prom, lasting beauty is a lifestyle not an event. Everybody is cute at 25. To still be competitive at 65 is something altogether different. You look good, because you have lived good. It takes a healthy routine to establish and maintain a good body weight. It takes a healthy routine to achieve beautiful skin. It also takes a healthy routine to make it to church on Sunday mornings. We will spend more time on body weight in the chapters on liposuction and body contouring. There is a great book on church already written. Here I simply want to emphasize the importance of lifestyle.

The Flawless sequence has four steps. If you follow these four steps in order, you will be very happy with your skin. Step 1 is water. Every organ of the body functions best when well hydrated. Keep in mind the largest organ of the Human body is Skin. Step 2 is Colon. The condition of the Colon has a lot to do with the condition of the skin. Step 3 is products. Notice that products are not the first nor the second step to achieving flawless beautiful skin. The fourth and final step is procedures. Procedures are divided into maintenance and therapeutic. I consider facials and microdermabrasion a part of a healthy skin maintenance regimen. I would list Botox, fillers, chemical peels, and cosmetic surgery in the therapeutic group.

If you want Flawless skin, I can help you. If you have Flawless skin, I can help you. This month focus on getting plenty of water. Month 2 do a 30-day Total body detox and Colon cleanse. Month 3, review your products. Month 4, get a deep pore facial. This sequence has completely eliminated blemishes, adult Acne and made many people very happy. This regimen is good for life. If you have Flawless skin this regimen will help protect you from aging and possibly menopausal skin. If your skin care product ingredients don’t include organic anti-inflammatories, you should consider switching to the Flawless line. When changing skin care products do so gradually. If you stop one product abruptly and start another product, many people break out or have reactions. This is because they changed the chemistry of the facial skin too quickly. I recommend that you continue the products that your skin is accustomed to in the morning and the new products at night. Typically, I ask my patients to use my cleanser at night and their existing products during the day. When their products run out replace them with Flawless products. Eventually you should have a complete line that includes cleanser, toner, daytime moisturizer, nighttime moisturizer, mask and scrub.

If you follow this regimen but don’t follow the sequence in the recommended order you will waste a lot of time, money and delay getting flawless beautiful skin. Flawless beautiful skin begins on the inside with healthy skin. The inside of you, not the inside of a jar. This is the difference between treating and curing blemishes.

When asked about flawless skin the diversity panel said:

Olga said: Flawless skin looks really natural. If you have any procedure or surgery you don’t show any signs of what you did. You look natural. You look like you, not a different person. For me I try to eat healthy that’s something I learned from my mom. I like to workout. I like to do things too. I did have implants to my breast area. They are not too big or too small. They look natural to me. They fit my body and my shape.

Jacklyn said: I can only speak on what I was taught and seen from my older sister and mom. Growing up I rarely saw my sis or mom use any type of skincare regimen. Plain water and soap (kept in a container strictly for face) is what they used. Until now, I still do the same; on occasion, I will use the flawless skincare line I have any breakouts, which is rare for us. Now being a MUA I do advise my clients to drink plenty of water, moisturize and make sure they use some type of cleanser to wash their face off every morning and night.

Dr. Bhatt said: In my culture, I have seen heavy emphasis put on natural, Ayurvedic, products. However, with advancements in the cosmetic industry, current generations uses a mix of Ayurvedic and chemical filled cosmetic products. I will try to shine some light to this topic by discussing each generations’ beliefs on their way to get flawless skin. My grandmother does not believe in applying any chemical products. Almost all people of her age, from my culture, share the same belief. I often hear her say, you are what you eat. She is 80 and she looks about 15 years younger than her age. She uses turmeric powder a lot. She drinks turmeric powder with milk. Mixes it with honey and cream and applies it on her face. She even exfoliates her skin by just rubbing the body hard with a rough towel she says (ouch) and then applies some coconut oil all over her body. Both my grandparents believe in hydrating themselves. They follow this ritual where every morning they will drink around 400-500ml of water. However, before that they would put Himalayan crystal salt under their tongue for about 10-15 seconds and then flush it out with water. They believe that it provides better hydration. My mom and my aunt, on the other hand use a combination of herbal (ayurvedic) products along with cosmetics. In my culture, the concept of flawless skin is mostly on the face rather than the entire body. Therefore, I have seen them use a lot of face products. What I mean to say is that my mom and more so my aunt has 5 face creams to one body lotion. They also do yoga, and in particular pranayama which is different variations of deep breaths in and out. Both take at least 8-9 hours of sleep plus maybe like 30-40 minutes of naps in between. Now my sister and I, use a variety of products. My sister looks for a quick fix like airbrush make up. If you ain’t got that look then just fake it lol (I hope she can’t read this on Facebook). We both also exercise regularly so that helps the skin. In addition, even though I am a guy, I think if I see something new on the shelf, I will give it a shot. I am very much into this flawless skin myself. I also mix this up with drinking turmeric milk since its good for both GI and skin. So that’s the concept of Flawless Skin in my culture across generations in general.

Angela said: My family has always been extremely active in achieving and maintaining a flawless complexion. We visit the dermatologist and buy high-end creams to combat our adolescent pimples and our middle-aged wrinkles. My great-grandmother, grandmother, mother and aunts barely have wrinkles and look much younger than they are. I am not certain if it is genetic or diligence, so I remain diligent. I have exported these values to Europe and skin care is extremely important to my friends and I. In addition, I am extremely open to taking advantage of what is available.

Jeanie said: The key is using good products and wearing sunscreen.

Nicole said: Personally, my journey to achieve flawless skin has been trial and error. I have figured out what products work for my skin by trying them and seeing the results. Older family members of mine who have flawless skin seem to keep it simple. They use mild soap and water for cleansing and cocoa butter for moisturizing. One thing that I have always been taught is that when I am having skin issues such as break outs that I need to drink more water. I try to remember that and make sure I take in enough water on a daily basis.

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Chapter 2

Water

It amazes me that people say I don’t like water. Really? Not to be extreme but that’s saying; I don’t like life, I don’t want to feel good, why would I want to look good? That’s just unacceptable. Not to be rude but if you are one of those people let me reason with you. The human body is two-thirds water by weight. Without water, our entire body would weigh roughly 7 pounds. You can survive about 7 days without water in normal comfortable conditions, less in extreme heat. You can survive 7 weeks without food. Water is more critical to life itself then food is. Granted what we eat does contain some water. We are not however talking simply about surviving, we are talking about living good, feeling good and looking good.

There are equations to determine the appropriate amount of water we should drink. I simply recommend 64 ounces a day for the average adult. The equations are important for children. It’s very important that little ones get adequate water. Their little bodies dehydrate quickly. Consult a Pediatrician for these amounts as they vary as the child grows. I am not aware of any ethnic differences in water requirements. That brings me to the other group of people who believe that water with an additive is still water. Lemon water is not water. Tea is not water. Once you add anything to Water it is no longer water. Water is a molecule; its chemical formula is H2O. It exists, as all matter does in solid, liquid and gas states. When you add anything to water, you create a solution. That solution is no longer pure H2O. Scientists searching for signs of life on other planets aren’t looking for Tea! You don’t wash your clothes with a twist of lemon. Those are not water. Only water is water. This is important because water is the only substance that is passively absorbed by the Human body. All other substances require processing before absorption. I do not mind if you drink pop, tea, coffee, milk or beer, I just do not count those toward your daily requirement of Water.

Every organ in the body performs better when it is well hydrated. The largest organ in the body is the skin. The skin is also the furthest from the heart. When you are dehydrated, your body diverts water away from the skin to benefit the other vital organs. If you are chronically dehydrated, your skin will look dull and wrinkle early. The skin has two layers. The outer layer is the epidermis and the inner layer is the dermis. The epidermis is made up of cells. The dermis is made up of protein and has very few cells. Water is very important to the normal function of both. When the epidermis is dehydrated your skin looks dull. This is due to the fact that the cells of the epidermis not only become dehydrated they tend not to exfoliate as they should. Normally skin cells move from the deep part of the epidermis to the surface, dry out, die and fall off. Falling off is normal exfoliation. This process takes 28 days. Every single cell of your entire body is brand new in 28 days. When the cells are dehydrated they tend not to fall off but stick and stack up. Your skin looks dull because it is covered with layers of dead cells, manifested by a dull lack luster appearance or even peeling. Remember you would not peel if there were nothing there to peel.

Normal circulation in the well-hydrated person will decrease with aging as a result of arteriosclerosis also known as atherosclerosis, hardening of the arteries. It stands to reason that water becomes increasingly more important as we age. This is why exfoliation is so important after the age of 30. Everybody is cute at 25. This is about still having that youthful glow at 65 and beyond. We have to assist the skin turnover by exfoliating ourselves with scrubs or loofas once a week. We are in essence compensating for the declining delivery of water to our skin cells in the epidermis. I recommend exfoliating at home once a week. Exfoliating at home removes 10-30% of the dead cells depending on the product and technique used. If you don’t have the Flawless scrub you can simply make a lather on a loofa glove with the Cleansing Soufflé’ and massage your face and neck for 4-6 minutes gently once a week. In addition, I recommend periodic facials that include microdermabrasion, which removes 100% of the dead cells.

The dermis on the other hand is made up of the protein Collagen. This layer provides support to the overlying epidermis. Healthy Collagen is bound to itself by a process called cross-linking. Well cross-linked Collagen is strong and smooth. The cross-linking process requires a single molecule. Guess what that molecule is? It ain’t tea and it ain’t got a twist of lemon. You got it; Collagen requires the water molecule, H2O, to cross-link. Without the water molecule, collagen collapses and the result is wrinkles.

It takes about 3 weeks for your body to get used to the water. Initially During this period, you will urinate a lot, which will eventually slow down. If you are anti-water beginning in your twenties, you will be dull looking with fine wrinkles beginning in your forties. Dull looking and wrinkled people don’t have as much fun! I’m just saying…. drink your water.

When asked about water the diversity panel said:

Olga said: Oh, great! For me water is very important. I drink at least 4 Liters of water a day. That is very important. It’s important for the skin, digestion, energy for everything.

Jeanie said: Water is huge. It’s important to drink lots of water. You should drink half your lean body weight in ounces

Nicole said: Water is very important to health in general and is definitely an important part of my beauty regimen. Water is necessary for cleansing and moisturizing the body, skin and hair. Also daily water intake is important to maintaining a healthy lifestyle and when you feel good on the inside, you look better on the outside. I’ve found that water is more important than any product when it comes to maintaining the sheen and health of my hair in particular. Any products that I do use I usually dilute with water to prevent build up and retain softness and sheen.

Jacklyn said: Cold water before application of Makeup is also another tip for a flawless look. Cold water helps shrinks pores. Daily drinking of water helps to keep skin hydrated, flawless looking and better for your body! Splash of cold water to the face shrinks pores…before makeup application*

Dr. Bhatt said: oh wow. Water!? I can write sooo much on these questions. I feel like giving a 500-word response. Can I do that? The reason why I have so much to say is because my grandfather is an Ayurvedic Doctor and he has this ancient Indian/ayurvedic/naturopathic literature and I have learned a lot about these things from him and his personal experiences. In Ayurveda, water is called Jeevanum, which means that which gives life. Apart from all the naturopathic and holistic products that most of us use to hydrate, moisturize, glow and get that younger skin, water has been the most important in my culture. Water can both be used internally and externally to get beautiful skin. According to Ayurveda, skin is categorized into vatta, pitta and kapha types depending on how dry and oily the skin is. It also takes into account the sensitivity. I do not want to get into much detail there. Internally, it is recommended to drink anywhere from 4-5 L of drinking water depending on body weight. How we do that is take your body weight, divide it in half; that is how many ounces of water you need to drink in a day. For example, say you weigh 200 lbs., that means your body needs at least 100 oz. of water per day. One can divide that in 4 servings of 25 oz. throughout the day. Not only does it help in hydrating the body but also gives elasticity to the skin. We believe that cold water should be avoided at all times. Drinking luke warm water hydrates the body.