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Great Expectations by Dr. Nedic

Great Expectations by Dr. Nedic


Managing patients expectations in beautifying the face….



Great expectations

According to a new survey, patients who’ve undergone an aesthetic facial makeover may look younger and more refreshed, but it didn’t make them more attractive. Dr Sly Nedic discusses the management of patient’s expectations in beautifying the face.

Managing Patients Expectations in Beautifying the Face In a recent study, people were asked to rate the appearance of patients who had undergone facial aesthetic makeovers. The results of the study showed that aesthetic intervention shaved a few years off perceived age – but did almost nothing to boost patients’ overall attractiveness. Unless it’s done intentionally, aesthetic makeovers don’t necessarily beautify the face – but rather deliver a younger look.

The best motivation for aesthetic procedure is the knowledge that after a non-invasive and almost non-downtime procedure, the patient will look younger and fresher. Unfortunately though, some of the patients have unrealistic expectations as they expect to be molded into ‘movie star gorgeous’… which is not entirely possible.

Well, there is now one more patient type to add to the list: those who want to enhance their appearance with beautification treatments. While this can be quite challenging, the aesthetic physician should be able to meet this expectation and deliver results. Fortunately, we now have innovative techniques and products available to enhance a patient’s attractiveness.

What Makes a Face More Attractive?
There is no real measurement to quantify facial beauty – but there are guidelines for facial symmetry and proportions which can be used to achieve beautification results.

Divine Proportions
Facial beauty is based on what is known as divine proportions. Golden or divine proportion is a mathematical constant (Phi1,618) that for some reason delivers proportions which pleases the human eye. This has been studied and used by artists and mathematicians since the Renaissance period. Even Leonardo Da Vinci employed it to measure and create beautifully proportioned faces in his paintings. Divine proportions show that beauty is timeless. In a recent website survey, the face that was voted the most beautiful by over a 10 000 voters had the same divine measurements as those of Nefertiti, dating back to 1350 BC. In modern society Angelina Jolie’s face fits into golden proportions. With this in mind, we try to follow this golden rule of proportion when we do aesthetic facial makeovers by using our artistic side.

Symmetry of the face is a visual sign which plays an important part in facial attractiveness. During an aesthetic consultation, symmetry concerns are always pointed out, and it’s important to look carefully at this aspect for an aesthetic makeover. Extensive asymmetry should be corrected, as well as the one which is necessary to be corrected for beatification of the face. However, a small degree of facial asymmetry is actually desirable. When we use Photoshop to duplicate one side of a famously beautiful face – such as Marilyn Monroe – the uniqueness and beauty is somehow lost. So, we need this minimal asymmetry between the left and right side to create a unique and beautiful look.

Beautiful Features?
Many cross-cultural studies have shown that there is some agreement between nations and races over the features which constitute a beautiful female face. These features being:

  • Highly arched eyebrows
  • Almond-shaped eyes
  • Dilated pupils with dark circles around the irises
  • Enhanced cheek bones
  • Fuller lips
  • A wide smile
  • A long, thin, straight nose and small nostrils

Many of these facial features are easy to modify with aesthetic procedures (such as Botox and filler injections) – and this needs to be discussed and offered by an aesthetic physician. However, it’s also important to note that age plays a key factor. For example; fuller lips and highly arched eyebrows is not something which a women in her 50’s will typically ask for (as she worries more about sagging skin and unwanted jowls). Therefore it’s the duty of an aesthetic physician to explain how beautification can be achieved, while making the face appear fresher and more youthful. Prominent, broad cheekbones are fast becoming a new trend in aesthetic medicine (even in younger women), and are considered beautiful. This is why volume restoration and cheekbone augmentation are currently popular procedures in the 3D restoration of ageing facial features. They’re thought to add youthfulness to the look and beautification.

As for men
When it comes to aesthetically pleasing facial features in the male species, the following traits are seen as desirable:

  • Broad cheekbones
  • A relatively longer lower face
  • Well developed brows, and
  • Chiseled jaw lines.

These features which differ between the sexes are known as sexual dimorphisms, and correlate with perceptions such as developmental stability, genetic health and a strong possibility to be successful. Men who have mid-cheek sagging with a prominent grove in that area are definitely seen as less attractive. So mid-cheek augmentation also plays a key role in the beautification of the male face.

In closing, the duty of the aesthetic practitioner is to follow the recent trends in what is considered beautiful; to use divine proportions in making a face more attractive; to have a fine eye for beauty (as well as an artistic hand), and to use scientifically proven methods. Above all else, while sculpting an attractive face, it’s important to deliver natural results so it looks like it has been done by mother nature!