Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty

Steven Liew, Woffles T.L. Wu, Henry H. Chan, Wilson W.S. Ho, Hee Jin Kim, Greg J. Goodman, Peter H.L. Peng, John D. Rogers

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Background: Asians increasingly seek non-surgical facialesthetic treatments, especially at younger ages. Publishedrecommendations and clinical evidence mostly referenceWestern populations, but Asians differ from them interms of attitudes to beauty, structural facial anatomy, andsigns and rates of aging. A thorough knowledge of thekey esthetic concerns and requirements for the Asian faceis required to strategize appropriate facial esthetictreatments with botulinum toxin and hyaluronic acid (HA)fillers. Methods: The Asian Facial Aesthetics Expert ConsensusGroup met to develop consensus statements on concepts offacial beauty, key esthetic concerns, facial anatomy, andaging in Southeastern and Eastern Asians, as a prelude todeveloping consensus opinions on the cosmetic facial useof botulinum toxin and HA fillers in these populations. Results: Beautiful and esthetically attractive people of allraces share similarities in appearance while retaining distinctethnic features. Asians between the third and sixthdecades age well compared with age-matched Caucasians.Younger Asians’ increasing requests for injectable treatmentsto improve facial shape and three-dimensionalityoften reflect a desire to correct underlying facial structuraldeficiencies or weaknesses that detract from ideals of facialbeauty. Conclusions: Facial esthetic treatments in Asians are notaimed at Westernization, but rather the optimization ofintrinsic Asian ethnic features, or correction of specificunderlying structural features that are perceived as deficiencies.Thus, overall facial attractiveness is enhancedwhile retaining esthetic characteristics of Asian ethnicity.Because Asian patients age differently than Westernpatients, different management and treatment planningstrategies are utilized.Level of Evidence V This journal requires that authorsassign a level of evidence to each article. For a fulldescription of these Evidence-Based Medicine ratings,please refer to Table of Contents or the online Instructionsto Authors

Original languageEnglish
Pages (from-to)1186-1194
Number of pages9
JournalAesthetic Plastic Surgery
Issue number4
Publication statusPublished - 2020 Aug 1

Bibliographical note

Funding Information:
The consensus meeting was funded by an unrestricted educational grant from Allergan; however, the authors are solely responsible for the contents of this article. The authors would like to acknowledge Dr. Kyle Seo, Dermatologist, Korea, for providing the photograph of the Korean woman in Fig. 1. Assistance with administration of the survey, survey data analysis, and editorial preparation of the manuscript was provided by Samantha Santangelo, PhD, of MediTech Media Asia Pacific.

Publisher Copyright:
© 2015, The Author(s).

All Science Journal Classification (ASJC) codes

  • Surgery


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