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Maxillofacial Surgery
Facial Aesthetic Analysis Facial Type, Proportions and Symmetry
Built from Facial Aesthetics — Concepts and Clinical Diagnosis
What’s inside
9 sections · 49 slides
Overview
- What this topic is about
- The road ahead
Guidelines, not rules
Why every published 'norm' is a starting point, never a verdict
- There are no rules in facial analysis
- Where the guidelines come from
- The three sources, unpacked
- Renaissance ideal proportions of the human body
- A head laid over a proportional grid
- Normative standards and frames of reference
- The final analysis is individualised
Clinical inspection
Seeing is not the same as observing
- Sir William Osler, pioneer of modern medicine
- What 'clinical inspection' actually means
- Inspection has three jobs
- Job one: observation
- Job two: palpation
- Job three: the diagnostic records
- Diagnosis here is descriptive
Educating the eye
Observation is trained, the way any other skill is trained
- Training to see
- Knowing how to see
- Leonardo's study of the proportions of the head
- Seeing is a practised art
- Practice alone is not enough
- One face, many parts
- Studies of the human face set out in proportion
The diagnostic process
Observe, measure, then observe again
- Clinical evaluation runs in three stages
- Stage one: look and form an impression
- Write qualitative notes at this stage
- The diagnostic process in facial aesthetic evaluation
- Reading the profile as upper and lower halves
- Stage two: measure and analyse
- Standardised side-on radiograph of the head
- What stage two is for
- Stage three: look again
- The question that closes the loop
Why looking alone is not enough
A famous illusion shows how confidently the eye can be wrong
- The eye can be confidently wrong
- What the illusion teaches at the chairside
Setting up the examination
Where to stand, how far away, and how the head is held
- Viewing position
- Viewing distance
- What the collected data lets you do
- Diagnosis is a process, not an event
The order of examination
Whole face first, then the region at fault
- Be systematic
- From whole face to fine detail
- Clinical evaluation: the sequence
- What each stage of the sequence delivers
Pulling it together
The few things worth carrying out of this topic
- Takeaways: how to think
- Takeaways: what to do
- “
- References
- References (continued)
- Facial Aesthetics: Concepts and Clinical Diagnosis, 2nd Edition