Premium Doctors TM’ Exploration of Facial Aesthetics in Multicultural Populations in Canada and the United States

Background: The field of facial aesthetics in Canada and the United States has seen significant growth, driven by societal acceptance, technological advancements, and a desire for self-enhancement. The region’s diverse demographic, with projections indicating over 50% non-Caucasian populations in the U.S. and 33% people of color in Canada by 2036, necessitates tailored aesthetic practices that respect ethnic variations in anatomy and beauty ideals. Historically, aesthetic procedures focused on Caucasian patients, often applying Westernized standards that may yield unnatural results in diverse populations. This review synthesizes evidence on facial aesthetic practices, emphasizing cultural competence, patient expectations, satisfaction, psychological impacts, and ethical considerations in multicultural North America.Methods: A systematic search was conducted across PubMed, Embase, Scopus, Web of Science, and Cochrane Library for peer-reviewed articles published primarily from 2015 to 2025. Keywords included "facial aesthetics," "multicultural populations," "ethnic beauty ideals," "surgical aesthetics," "non-surgical aesthetics," "patient satisfaction," "cultural competence," "Canada," and "United States." Inclusion criteria prioritized studies on diverse patient groups in these regions, clinical outcomes, and ethical practices. Data were extracted on anatomical variations, treatment techniques, efficacy, safety, patient-reported outcomes, and psychological impacts, then synthesized to identify trends and gaps.Results: Findings highlight significant ethnic variations in facial anatomy (e.g., skin characteristics, nasal morphology, periorbital features) and aesthetic preferences, necessitating customized surgical (e.g., rhinoplasty, blepharoplasty) and non-surgical (e.g., dermal fillers, botulinum toxin) interventions. High satisfaction is reported when cultural identity is preserved, though risks like post-inflammatory hyperpigmentation in skin of color require specialized techniques. Psychological benefits include improved self-esteem, but Body Dysmorphic Disorder (BDD) prevalence (3–53%) poses ethical challenges. Cultural competence is critical to align treatments with diverse beauty ideals and manage expectations influenced by social media.Conclusions: Successful facial aesthetic practice in multicultural North America requires a deep understanding of ethnic anatomical differences, culturally sensitive techniques, and robust psychological screening to address BDD and unrealistic expectations. Research gaps, particularly for Black, Latinx, and Indigenous populations, underscore the need for inclusive studies to ensure equitable, evidence-based care. Continuous adaptation and ethical vigilance are essential for practitioners to deliver harmonious, satisfying outcomes that respect patients’ cultural identities.