Before we talk about facial disharmony, we need to understand the definition of beauty or features of an aesthetically-pleasing face.
Beauty is defined as a harmonious culmination of various pleasant aesthetic lines, features and proportions. In general, the following are universally agreed ideal proportions and aesthetic lines:
- Facial thirds – frontal hairline to upper eyelid, upper eyelid to base of nose, base of nose to tip of chin. The ratio should be 1:1:0.8 in East Asians and 1:1:1 in Caucasians.
- The width of the eye should equal the distance between the eyes. No more, no less.
- The ratio of width of the nose and distance from inner eye to most lateral aspect of the face should be 1:1.6
- A straight line drawn vertically on profile view should align the forehead, base of nose and tip of chin.
- A straight line drawn diagonally from the tip of the chin should touch the lips and tip of nose slightly.
- The face should be heart-shaped for East Asians and square-ish for Caucasians
- The eyes aperture should be wide and tall.
- The angle between the forehead and nose should be 115-130°.
- The angle between the base of nose and upper lip should be 95-105°
- The nose should be narrow and nose tip not too bulbous
- The lower lip should be about 30% thicker than the upper lip
Mild facial asymmetry is acceptable. In fact, upon close scrutiny, even the most beautiful people in the world has slight asymmetry between the two sides of the face. Absolute facial symmetry is unnatural and may draw an observer into the uncanny valley that evokes repulsion.
Now, we move on to the most common cause of facial disharmony or loss of aesthetic lines and that is aging. There is bone resorption, loss of fat pads and thinning of skin.
The resultant sagging of skin, sunken areas like hollow temples and cheeks and unwanted fat deposits like jowls and double chin wreak havoc on the harmony of facial proportions and disrupt all aesthetic lines.
Another cause of less-than-ideal facial features is overfilling syndrome or pillow face which is a sad phenomenon nowadays especially among the celebrities. With the advent of social media, daily selfies are obligatory and to look striking in selfies, facial features need to be extremely sharp.
They may look good on photo, but in person, they look overdone. I’m sure we’ve all bumped into one or two in the streets who’s face are so puffy we can barely see the eyes.
We at GEM Clinic feel it is the doctor’s duty to remind clients when they have enough products in their face and stop further filler procedures.
Unfortunately, some people are born with less than perfect facial proportions. Some clients seek help because they are disfigured from previous trauma or injury. But fret not as it can be rapidly improved with fillers and threads over lunch.
Every face is unique and everyone ages differently. We need to restore and enhance, not alter. How this can be achieved very much depends on the doctor’s aesthetic sense.
An aesthetic sense can only be acquired through years of experience dealing with multitudes of human facial aging changes as well as various unique facial contour problems / dilemmas.