A 51-year-old female patient presented to my clinic with concerns about the appearance of her lower face and volume loss in the mid-face, feeling that she looked quite skeletal. When performing a consultation, I never sit in front of a patient and say ‘you need XYZ’, because I do not want them to leave feeling more self-conscious than they were when they arrived. So, I always ask the patient what their problem area is, and then after assessing them properly I suggest treatment options.
I also look at them in three dimensions – from the front, the oblique and the side – taking into consideration how they look both when static and in animation. It’s important to note what the patient looks like when they’re smiling and moving to see how different areas of their face interact with each other.
I then consider the face in thirds – upper, middle and lower – to see if there are any jarring or big contrasts between them. Next, I observe whether there’s any asymmetry between the left and right…
