Moradi Amir, Montes Jose Raul, Humphrey Shannon, Grunebaum Lisa D, Bertossi Dario, Dimitrijevic Elena, Sangha Sara
From Moradi MD, Vista, Calif.
JRM Eyes & Facial Rejuvenation, San Juan, Puerto Rico.
Plast Reconstr Surg Glob Open. 2024 Oct 4;12(10):e6219. doi: 10.1097/GOX.0000000000006219. eCollection 2024 Oct.
Facial proportions and contours influence perceptions of beauty and youthfulness. In particular, the shape and definition of the midface and lower face impact the overall appearance of the face.
This review provides anatomical evidence to support a holistic approach to facial analysis and rejuvenation that starts with assessment and treatment of the midface and lower face to create an aesthetically desirable facial balance.
The cheek and chin can be considered "anchors" or starting points within full-face treatment because of the noticeable impact of their treatment on the definition and contour of the entire face. Age-related changes in the cheek and chin affect overall facial appearance and can produce unintended facial emotional attributes such as looking tired, angry, or sad. Patients seek facial aesthetic treatment typically for a global improvement such as revitalization or genderization of facial features. Best practices in aesthetics have evolved from treatment of individual areas to a holistic paradigm that uses multimodal therapy to improve overall facial emotional attributes. Hyaluronic acid fillers are useful for volume replacement and smoothing abrupt transitions that develop with age throughout the midface, chin, and jaw. A combination of hyaluronic acid filler for volume restoration and sodium deoxycholate and/or onabotulinumtoxinA for volume reduction where appropriate may optimize lower facial contour.
This review highlights the importance of facial angles and contours as well as the significance of panfacial assessments and treatment, focusing on the relationships within areas of the face, specifically the midface and lower face, to optimize results.
面部比例和轮廓会影响对美和年轻的认知。特别是，中面部和下面部的形状及轮廓会影响面部的整体外观。
本综述提供解剖学证据，以支持一种整体面部分析和年轻化方法，该方法从评估和治疗中面部及下面部开始，以实现美学上理想的面部平衡。
由于脸颊和下巴的治疗对整个面部的轮廓和外形有显著影响，因此在全脸治疗中可将其视为“锚点”或起点。脸颊和下巴与年龄相关的变化会影响面部整体外观，并可能产生诸如看起来疲惫、愤怒或悲伤等意外的面部情绪特征。患者寻求面部美学治疗通常是为了实现整体改善，如面部特征的焕活或女性化。美学的最佳实践已从对单个区域的治疗发展为一种整体模式，即使用多模式疗法来改善面部整体情绪特征。透明质酸填充剂可用于补充容量，并平滑随着年龄增长在整个中面部、下巴和下颌出现的突然过渡。在适当情况下，将用于恢复容量的透明质酸填充剂与用于减少容量的脱氧胆酸钠和/或A型肉毒毒素联合使用，可能会优化下面部轮廓。
本综述强调了面部角度和轮廓的重要性以及全脸评估和治疗的意义，重点关注面部各区域之间的关系，特别是中面部和下面部，以优化治疗效果。
