LAM FACIAL PLASTICS

Hi Doctor! a friend of mine and I were discussing the issue of the divine proportions and its applications to cosmetic surgery. After reading and seeing what you said and did, I am convinced that symmetry is not as important as harmony, that often is not linked to symmetry. Discussing of the issue, she brought up the sujbect of the width of the face and she said that the face should be the widest at eye level. I don't concur. Even though a person's particular case might change things, I doubt anyone can look good with the widest part at that level, as eyes would look too close together even if they are actually not too apart. I said that it varies from person to person, but that I would say that the widest part of the face should be somewhere under a figurative line across the face and an inch or so below the eyes. How much wide and how much width would be needed in other places to creat a smooth transition makes the issue relative. But I still think that someone with the very widest part of the face in the eye area, even if it was the skinniest face on earth would end up looking like an alien with seemingly close set eyes. I'd say that even in the fattest or skinnier faces, the widest area should be around (around, depending on the case) the prominene of the malar area and then blend smoothly toward the lower cheek and buccal areaa. Using your experience, what would you say?
Hugs, hugs ,huggs!

hmmm, that is difficult since everyone is different. it's one of those cases of when i see it, i know it. however, as we talk of facial shapes when i do fat grafting i have moved from the idea that i am inverting a triangle to a wider apex at the cheek level to now pushing the buccal area out a bit in gaunt individuals to create more of an oval. if the area above the eye, i.e., the temple, is too gaunt, that can detract from a face. in general, the widest part that i usually prefer is at the level of the cheek in most individuals, that would correspond to the widest part of the oval or the apex of the triangle when it is inverted. hope that is clear. in general, the height of the forehead, degree of buccal gauntness, etc. and many factors ultimately dictate my decisions when working on a face. however, i would concur with you that the cheek should be most likely the widest point because it is toward the center of the oval. hope that makes sense.
thanks for the question,
sml

100% clear!! Your explanation using the example of triangles but also suggesting the variations to take into account in people whose gauntness seems to be linked largely to the lack of fat in the buccal area was super duper clear. I could totally "see" what you were describing . THANKS!!!

cool. thanks again for the question MA!