The most common cause of Adult Acne in Black women is Constipation! The problem begins in puberty. When a Black woman’s body switches from childhood to adulthood her DNA is expecting an African diet. Her genetics was not changed by that long boat ride to America. This constipation is a mild form of rejection of the American diet. The rate of constipation in Black women is much higher than white women or Black men. You should have a bowel movement with every meal. Adult Acne in Whites and Black men is much less common, but any adult with acne should be questioned about his/her water intake, colon habits, skin care products, shaving products and shaving technique.

A congested colon accumulates toxins and these toxins will manifest themselves in subtle ways. If you are tired all the time check the colon. If you sleep 8 hours and don’t feel rested, check the colon. If you have a sluggish metabolism and honest trouble losing weight check the colon. If you have a low sex drive, check the colon. If you are over 30 and get pimples check the colon especially if you did not have teen acne.

Baggy eyelids appear worse when you look straight up or when you squint slightly. In other words your bags look worse when you cant see them. The bags of the lower eyelids are clearly visible in the before picture and are completely gone in the after picture. What you do not see is any surgical scars, that’s because Dr. Tinsley performs the procedure from inside the eyelid, eliminating any possible scars. This is called the transconjunctival approach. The intraoperative photo below shows the procedure being done, the right eyelid has been completed and the fat of the left eyelid is the yellow tissue. The eye (eyeball) is protected and not involved in any way. The procedure takes less than an hour and you go home the same day.





Blemishes (PIHP)

The underlying cause of the dreaded blemish is inflammation. The condition is known as Post-Inflammatory Hyperpigmentation or PIHP pronounced “pip” in my office. Black skin is very sensitive to dehydration and very sensitive to inflammation. Therefore Black skin has a much higher incidence of blemishes and dark spots. The best example of PIHP is the darkness around your knees and elbows. Everybody Black has a dark spot around their knees where they had a minor childhood injury, which healed and more than 20 years later the dark spot is still there. What I know about Black skin is that ; if the wound heals, the inflammation resolves and the color comes back at the same time Black Skin will heal with a dark spot. It doesn’t matter what causes the inflammation the issue is how the skin responds to the inflammation.

Facial inflammation is caused most commonly by pimples. Dark circles around the eyes may be caused by underlying inflammation in the sinuses. Minor Inflammation can be aggravated by makeup. Healthy skin will respond better to any challenge and will be less likely to blemish.

Basic formula to achieve healthy skin



Internal

1.You must be well hydrated. I recommend 64 ounces of water a day for adults, especially African Americans.

2. The colon is the source of internal inflammation. The condition of the colon is related to the condition of the skin. You should have a bowel movement with every meal. 85% of African American women have 7 or less bowel movements per week. This condition generally begins in puberty. I recommend a 30day colon cleanse. Colonics clean the colon which is great but they do not strengthen the colon. Colon cleansing drinks over 30 days will cleanse and strengthen the colon so it can take care of it self.

External

1. Use products that control oil while hydrating the skin. Do not wash the face with soap. Soap is an alkaline detergent by definition and pulls the water out of the skin. Do not use rubbing alcohol or witch hazel on the facial skin. Alcohol also dehydrates the skin and witch hazel is 80% alcohol.

2. Use products that contain natural anti-inflammatories, avoid makeup when the skin is inflamed and do not burst pimples. Use a facial wash or cleanser. You can purchase Flawless by Dr. Tinsley Cleansing Soufflé here through Amazon.com which accomplishes all of the above. The patient pictured enrolled in the full Flawless program detailed in the Black Skin Manual which can also be purchased here through Amazon.com

Liposuction of the Face and Neck

Liposuction of the face is rarely discussed. Here you can see the dramatic results that can be achieved safely and in less than an hour.

The Nose Job
Rhinoplasty

The most commonly requested change of the nose is to reduce wide nostrils, or nasal flaring, straighten the bridge, reduce the boney base width, and elevate and refine the tip. All the above can be accomplished through an open rhinoplasty which places the majority of the scars inside the nose with no scars on the face or cheeks. In this case the patient complained that she had her father’s nose. The nose was refined while respecting the patient’s ethnicity.