Journal of Clinical and Aesthetic Dermatology

AUG 2017

An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology

Issue link: http://jcadonline.epubxp.com/i/870497

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aging-related bone recession and fat pad atrophy also affect treatment strategy. 26 elderly p atients may display chin irregularities caused by the mentalis muscle contracting onto atrophied bone. If this volume loss is age-related, the mentalis muscle will contract into this void 27 and require combination treatment. age-related subzygomatic volume deficiency and atrophy 28 necessitate concurrent restorative interventions. Interestingly, subzygomatic depressions unrelated to laxity are frequently treated in young, east asian women, together with oval- face shaping and a reduction of subzygomatic prominence. 29,30 sex-determined goals also exist, particularly for beautification of the jawline. asian men prefer straight, defined jaws but not broad or square jaws (in contrast to caucasians). 3 1 Jawline reduction and definition are frequently requested by asian women; 32 mandibular angle augmentation is smore common than toxin treatment in Korea. 3 3,34 to create a more defined jawline in taiwanese men, MfU-V, toxin, and filler treatments are administered, as toxin alone is ineffective. these distinctions suggest that taiwanese and Korean patients have different aesthetic goals for the jawline (table 5f). conclusion And Future directions to our knowledge, this is the first description of the aesthetic treatments required to achieve facial changes considered "ideal" for the asian patient. It is not our intention to provide detailed treatment instructions, which can be found elsewhere. 1 our current recommendations for combined interventions in asian patients complement previous work 1,35 by providing granular recommendations for early intervention/enhancement, restoration, or beautification treatments in asians. the experts in this current consensus displayed a high level of agreement with World congress of dermatology consensus statements, demonstrating that the goals of beautification and treatment strategies using minimally 24 JCAD journAl oF clinicAl And Aesthetic derMAtologY august 2017 • Volume 10 • number 8 c o n s e n s U s Figure 3. Treatment recommendations to bring the oblong/rectangular face closer to the ideal oval shape a) examples of beautification interventions on the oblong face (photo courtesy of dr. yates chao); B) patient 2 received toxin treatment for the masseter and temporalis (photo courtesy of dr. Kyle seo); c) patient 3 shown at different viewing angles, before ha and caha filler treatment (top left and bottom left), with visible curve sculpting and contouring effects after 17 days (top right and bottom right) (photos courtesy of dr. fW tseng).

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