This section is dedicated to questions that don’t easily fit into any other category but that concern facial plastic surgery. For hair restoration, see Dr. Lam’s Hair Transplant Forum. http://www.drsamlamhairforum.com/
Dear Doctor Lam, oh how much I have enjoyed reading your posts! I have learned so much! Thank you!!
I would like to know what is, in your opinion and from your personal experience, the main facial trait whichs "improvement" through fillers, fat grafting or whatever procedure is indicated (whether it's an improvement in shape, fullness or regarding its proportion) you've noticed has had or tends to have the higher positive impact in balancing a face, improving a person's beauty or making the person less ugly... USUALLY.
(I know that each person is different, that each case is different.
I only want to know if you've noticed one trait in particular (nose, mouth, eyes, cheeks, face shape) tends to make a person look "better", even if other features remain unchanged. I know it is a very personal, debatable issue, I only am interested in your experience).
If you think even generalizing and considering only your experience that it is impossible to answer to my question, maybe you have noticed the opposite? That is, one particular facial trait TENDING to "uglify" more a given person's appearance by being "off", out of proportion, etc.
I realize it is a question you might have not an answer for. Just curious in the case you've noticed something in your practice.
If you wonder why I am asking, it is simply because many things in my face are "off" and while I do not intend to make myself beautiful or aspire to any particular beauty standard, I would like to know what one trait of mine if made "nicer" could have a higher impact in my looking better.
Again, I know you might not have an answer because really really you have found that "one trait" that matters most for a person to be very variable and personal... and it's ok.
of course, everyone is different. that being said, i think the eyes and cheeks are so critical because that is what we "talk to", that is what makes us look tired or awake, sad or happy. when they look bad, nothing else matters. curiously, women are focused on the mouth and neck because that is what they think makes them look older. the key with rejuvenating the eyes and the cheek is to create a vital, soft, feminine, sexy, young look. obviously, not by cutting the eyelids alone and lifting brows. that is in one word, YUCK!
Wow, I would have never guessed cheeks mattered that much, but it's true that' what we see first, along with the eyes, when talking to someone.
What I find funny, in a nice way, is that I had thought of "fixing" precisely those two areas first (filling in both).
that makes you more intelligent than 90% of PSs out there!
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery