Case Study: Correcting Lower Face Disharmony

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The lips and lower face are highly dynamic and complex facial areas which vary greatly between individuals. As a result, there is no ‘one size fits all’ treatment protocol that can provide harmony to this area. We do use concepts of proportions and ratios to approximate aesthetically pleasing targets for treatment, but idealising proportions alone does not necessarily result in ideal enhancement and does not consider distortion of features on dynamism.1
To truly harmonise facial features and provide natural results, careful assessment of both the static and dynamic facial presentation is required.2 This case study explores the assessment, planning and treatment of lower face disharmony, with a focus on correction of misplaced filler in this area. 
A young woman in her 20s attended the clinic as she was originally concerned about the appearance of her under-eyes (Figure 1). She felt they looked dark and sunken. She had never had this area…

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