Journal of Clinical and Aesthetic Dermatology

AUG 2017

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

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invasive technologies are actually similar between caucasian and asian patients. however, t he indications, filler types, and dosages of botulinum toxin are factors that must be customized to the specificities of asian faces. the recognition and understanding of facial shapes is near universal but often focuses on the oval facial shape. 36–39 In reality, ethnicity and societal preferences influence patient preferences. 40 therefore, this consensus provides some guidance on the procedures necessary for the modification of nonideal face shapes to the oval ideal in individual patients. combination treatments should be used holistically to reduce widths, angularity, and masculine features and to enhance feminization, three-dimensional projection, and contours in women. ethnicity- determined congenital deficiencies and cultural biases should be respected and carefully considered during patient selection, counselling, and the formulation of optimal treatment plans. for the first time, this document establishes consensus recommendations and clinical guidance for physicians who wish to treat asian patients more effectively and with optimal outcomes using defined combined interventions. reFerences 1. carruthers J, Burgess c, day d, et al. consensus recommendations for combined aesthetic interventions in the face using botulinum toxin, fillers, and energy-based devices. Dermatol Surg. 2016;42(5):586–597. 2. sundaram h, liew s, signorini M, et al. Global aesthetics consensus Group. Global aesthetics consensus: hyaluronic acid fillers and botulinum toxin type a-recommendations for combined treatment and optimizing outcomes in diverse patient populations. Plast Reconstr Surg. 2016;137(5):1410–1423. 3. Wu Wt, liew s, chan hh, et al. asian facial aesthetics expert consensus Group. consensus on current injectable treatment strategies in the asian face. Aesthetic Plast Surg. 2016;40(2):202–214. 4. liew s, Wu Wt, chan hh, et al. consensus on changing trends, attitudes, and concepts of asian beauty. Aesthetic Plast Surg. 2015 sep 25. [epub ahead of print] 5. Weng cJ. oriental upper blepharoplasty. Semin Plast Surg. 2009;23(1):5–15. 6. liew s. ethnic and gender considerations in the use of facial injectables: asian patients. Plast Reconstr Surg. 2015;136(5 suppl):22s– 27s. 7. German association of the scientific Medical societies (aWMf)— standing Guidelines commission. AWMF Guidance Manual and Rules for Guideline Development, 1st ed. 2012. english version. d/leitlinien/aWMf-regelwerk/aWMf- Guidance_2013.pdf. accessed november 26, 2015. 8. young sM, lim lh, seah ll, et al. prospective audit of ptosis surgery at the singapore national eye centre: two-year results. Ophthal Plast Reconstr Surg. 2013;29(6):446–453. 9. rhee sc, Woo Ks, Kwon B. Biometric study of eyelid shape and dimensions of different races with references to beauty. Aesthetic Plast Surg. 2012;36(5):1236–1245. 10. Wu Wt. Microbotox of the lower face and neck: evolution of a personal technique and its clinical effects. Plast Reconstr Surg. 2015;136(5 suppl):92s–100s. 11. Watanabe K, Miyagi h, tsurukiri K. augmentation of temporal area by insertion of silicone plate under the temporal fascia. Ann Plast Surg. 1984;13(4):309–319. 12. Beleznay K, humphrey s, carruthers Jd, carruthers a. Vascular compromise from soft tissue augmentation: experience with 12 cases and recommendations for optimal outcomes. J Clin Aesthet Dermatol. 2014;7(9):37–43. 25 JCAD journAl oF clinicAl And Aesthetic derMAtologY august 2017 • Volume 10 • number 8 c o n s e n s U s Figure 4. Beautification of the round face to bring it closer to the oval shape a) treatment recommendations for the round face (photo courtesy of dr. yates chao); B) patient 4 received Bont for the masseter and filler for chin augmentation (photos courtesy of dr. yates chao); c) patient 5 also received filler for the subzygoma (posterior cheek) (photos courtesy of dr. Kyle seo).

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