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Characterizing The Facial Shapes

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In our personal opinion, using a classification with a smaller number of specific facial shapes is easier to understand and more practical in the definition of the aesthetic treatment plan. For that reason, we have been using four face shape models: oval, heart, round, and angular.
We prefer to characterize the shapes taking into account the middle and lower thirds of the face, instead of the whole face. The first reason we prefer this approach is that the hair implantation line and the hairstyle may confuse the evaluation and, consequently, the classification of the proper face shape. Second, although the upper third is key to the rejuvenated and attractive appearance, the goals of the treatment with fillers do not considerably change among different morphologies of the face. The end points are a rounder forehead in women and a sharp oblique frontal in men, whereas the temples should be slightly concave or flat in both genders.Of note, some patients may have facial asymmetries that can lead to a different shape at each side of the face, which is important to be identified in the facial assessment.

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