BACKGROUND The skin of color (SOC) population in the United States continues to grow, and these patients are undergoing various cosmetic and surgical procedures at increasing rates. There is a paucity of data on the potential complications associated with surgical and cosmetic procedures in this patient population. OBJECTIVE We aim to educate dermatologic surgeons and clinicians on surgical and cosmetic procedures in patients of color and increase awareness of the potential complications unique to this patient population. MATERIALS AND METHODS A thorough PubMed literature search was performed to conduct this review. RESULTS There are a number of complications in SOC that require special attention, including keloids, postoperative infections, postinflammatory hyperpigmentation, and hypopigmentation. There are also various precautions to consider when performing cosmetic procedures, such as neurotoxin and filler injections, laser therapy, microneedling, and chemical peels. CONCLUSION Dermatologists should be aware of the potential cosmetic and surgical complications of this growing patient population to provide optimal evidence-based medical care.

Objectives Pedunculated lipofibromas are soft, compressible, skin-colored nodules that typically present as an acquired solitary lesion, predominantly located on the buttocks and thighs. We aimed to differentiate between pedunculated lipofibromas and nevus lipomatosus superficialis. Although benign, this may be important as treatment options vary. Methods We describe 3 cases of solitary pedunculated lipofibromas occurring in older, obese adults that required clinicopathologic correlation for the correct diagnosis. Results The histopathologic features of pedunculated lipofibromas include a broad-based lesion with aggregates of mature adipocytes extending upwards into the dermis without an associated inflammatory infiltrate. The primary histopathologic differential diagnoses include fibroepithelial polyps with adipocytes and nevus lipomatosus superficialis, which is more frequently found in children or young adults and is typically characterized clinically by multiple lesions with a cerebriform to verrucoid surface. Conclusions While the precise relationship between pedunculated lipofibromas and nevus lipomatosus is still unknown, we propose using pedunculated lipofibroma as a more specific clinical term to refer to solitary pedunculated or broad-based fatty lesions with a smooth surface that occur in older patients and in a wide anatomic distribution.

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Pseudofolliculitis barbae (PFB) and acne keloidalis nuchae (AKN) are chronic inflammatory conditions affecting hair follicles common in men of color who are genetically inclined to have tightly curled hair. 1 The incidence of PFB and AKN among African American men may be as high as 83.0% and 13.6%, respectively. 2,3 The barbershop represents a distinctly important institution in the African American community and constitutes a culturally appropriate venue for barbers to provide men with health information. 4 The knowledge and expertise afforded by barbers regarding dermatologic evaluation and intervention of common scalp and hair problems in this population has not been evaluated. The aim of this cross-sectional study was to assess barber perceptions and recommendations regarding PFB and AKN in predominantly African American barbershops.

Needlestick and other sharps injuries (NSI) are an important occupational hazard, and approximately 600 000 to 800 000 NSI events were reported annually in US hospital settings as of 1999. 1 These events carry risk of bloodborne pathogen transmission, as well as psychosocial and financial burdens. The cost associated with an NSI could range from $500 to $3000 (as of 2000), depending on the treatment provided. 2 Protecting health care workers against NSIs is an important component of workplace safety, and resident physicians are among those at risk. Physicians in training, particularly surgical residents, frequently report NSIs. 3 Current epidemiology reports of NSIs among resident physicians are predominantly from survey-based studies. In contrast, studies sourcing data from occupational health offices are few in number and have small sample sizes. 4 This study reviews reported NSIs to more comprehensively evaluate differences in NSI incidence rates among house staff across medical and surgical specialties. To develop targeted approaches to NSI prevention, we evaluated the influence of the academic calendar by calculating rates of NSIs per month.