I agree with Dr. Lam... symmetry is overrated when it comes to judging something beautiful. Something simmetrical can look boring or average and a face with asymmetries can be of the most interesting faces ever. While symmetry certainly plays a role in beauty, I believe a certain degree of asymmetry is what makes us look more unique, more "Human" in a good way... even really, really more attractive.
That is evident when watching some of the work Dr Lam has done. He has not always done reconstruction looking for perfect symmetry and damn... the results are far better when trying to find a balance that sometimes means no perfect symmetry !
That said, it is obvious that changing one's face without having an aesthetic eye can produce a disaster.
A pet peeve of mine are the too frequent cheek implants implants that are put often as in "one mold fits all" and make some faces look plain weird. People end up looking like chipmunks. I hate that.(Well, not always, but most of the time).
That is one reason I refuse to have an implant of that type and prefer to go for fillers for now and then fat grafting when I will have the $ to travel to Dallas with our dear Mr Lam to fill in my cheeks.
But even for fillers, although safer (especially as one can not inject too much and that they are temporary) can be placed in ways so that they end up creating a weird effect.
Dr. Lam, how do you realize where are the key points where to inject the fillers? You have already explained the importance of having a smooth contour, without drastic changes, so that the malar and submalar area do not stand out as in not being a smooth transition between the different parts of the face.
And I realize in most cases, there is "something" you can only tell by seeing a person and using your artistic eye and the person's characteristics, so can not put into laws and rules.
That said, considering creating smooth transitions in the face... do you take some factors ALWAYS in consideration? As in some aesthetic "rules" applied always or almost always to faces?
I studied arts and remember how even the human face was subject of analysis based on proportions. There were complex methods to judge the beauty and size of eyes, mouth, cheeks, etc. and their positioning.
Is there something (like the lenght from x to y, the lenght of the face, some specific proportions) that you take particularly into account when judging where to place a filler? In most people?
I remember that in art, we would mention prominence triangles when it cames to certain parts of the face, and where they should be. That, applied to cheek augmentation... is something worth studying?
How can a person have a clue where the filler might go ok WHEN the person is unlucky (like me!) to not have you close, and that this person (again, me) does not trust much the aesthetic eye of 90% of doctors who put injectable fillers?
yes, i had to memorize all of those rules: the face divided into 5ths horizontally, thirds vertically, Goode's rule for the nose projection, etc. in order to pass my facial plastic surgery boards. you know how often I use any of them? TRY NEVER. Everything I do is based on my eye. No measurements. It has to look right for me. When I do a nose for example, I am looking that everything just looks right and proportionate. There are no measurements. When I look at a face that I am sculpting with fat transfer, I do not follow ANY rules. I just make sure what I have created looks good to me. If you don't have an aesthetic eye, you should get out of the plastic surgery business. you are doing a great disservice to your patient's with taste. you can't teach taste. you can't teach artistry. you are born with it. hope that answer was not too elusive. sml