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CC BY 4.0 · Arch Plast Surg 2025; 52(03): 202-205
DOI: 10.1055/a-2545-1758
Communication

Challenges with Conventional Dermal Filler Guidelines: Considering Multi-Axes Facial Rotation Asymmetry Patterns

Erik Koppert 
1   Department of Surgery, Epworth Hawthorn and Epworth Eastern Private Hospitals, Melbourne, Victoria, Australia
,
Kyu-Ho Yi 
2   Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seodaemun-gu, Seoul, the Republic of Korea
3   Maylin Clinic (Apgujeong), Seoul, the Republic of Korea
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Funding None.
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Abstract

Facial asymmetry is inherent from birth, and it becomes more pronounced with age due to changes in the facial skeleton at various rates and locations. As new insights into “multi-axes facial rotation” patterns emerge, there is a pressing need to update the standards for facial assessment, consultation, and treatment to align with modern aesthetic practices. Traditional methods like MD Codes™ and BeautiPHIcation™, which focus on enhancing specific features or applying mathematical beauty principles, may not adequately address overall facial balance and may neglect the underlying skeletal asymmetries that contribute to a person's appearance. These approaches, while innovative, can result in treatments that might not fully appreciate or correct the foundational asymmetries present in the facial skeleton. Therefore, a comprehensive approach that includes a detailed assessment by skilled practitioners is essential to achieve a balanced aesthetic outcome that not only meets individual aesthetic needs but also enhances patient satisfaction through improved education and trust-building between the clinician and the patient.

Keywords

skilled practitioners - multi-axes facial rotation - facial asymmetry - filler injection

Ethical Approval

There is no ethical problem.


Patient Consent

Informed consent has been taken from the patients.


Authors' Contributions

E.K. contributed to the conceptualization. E.K. and K-H.Y. contributed to supervision and writing—original draft preparation, review, and editing. All authors have reviewed and approved the article for submission.




Publikationsverlauf

Eingereicht: 17. Juni 2024

Angenommen: 23. Februar 2025

Artikel online veröffentlicht:
15. Mai 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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