Symmetry of the Face

Dimitrije E. Panfilov

Michelangelo acknowledged the Roman architect from the first century B.c. Vitruvius to be his "teacher". And it was Vitruvius who said: "Symmetria forma absoluta est."

The ultimate absolute shape is symmetry. Good healthy colour of skin, exuberant healthy hair, and symmetry are conditions which suggest health of a human being and this anticipates the capability of

Fig. 8.1 a-e. High-grade asymmetry of a male patient who only wanted to symmetrize the nose. His "left face" seems to be 10 years older than his "right face". a Right half. b Preoperative face. c Left half. d Right half doubled. e Left half doubled. This "left face" looks 10 years older than the "right face"

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  1. 8.2. Symmetrizing of the nose - reduction of left nostril and elevation of left lip commissure
  2. 8.2. Symmetrizing of the nose - reduction of left nostril and elevation of left lip commissure
Good Facial Symmetry
Fig. 8.3. Additionally left side unilateral facelift and microlipofilling of the left temple was performed. a preoperative b postoperative view

generating healthy descendants. Symmetric-looking There is another interesting fact. All top sports-persons seem subconsciously more attractive to the men are somehow good-looking. This is due to the opposite sex because of the suggested ability to pro- fact that facial symmetry correlates with the corporal duce healthy children. symmetry and this is a prerequisite of the optimal physical performance which an individual is able to

8 Symmetry of the Face 31

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  1. 8.4. a Right half. b Postoperative face. c Left half. d Postoperative right half doubled. e Postoperative left half doubled surgically changed. f Preoperative left half doubled for comparison (still unchanged)
  2. 8.4. a Right half. b Postoperative face. c Left half. d Postoperative right half doubled. e Postoperative left half doubled surgically changed. f Preoperative left half doubled for comparison (still unchanged)
Face Symmetry Surgery

deliver. Somebody who has one leg shorter than the other or asymmetric muscles in both extremities will not be able to achieve better results than somebody who has symmetric and almost perfect corporal conditions. And featural asymmetry is often accompanied by corporal asymmetry.

On the other hand, there is no face and no body in the world which is absolutely symmetrical. A slight unevenness of eyebrows, of eyelids, or mouth angles and different sizes and positions of cheeks and ears are present in almost every face. Science has discovered that women's earlobes achieve most symmetry during the fertile period of the menstrual cycle. Nature helps women to become symmetric, that means more attractive, just to increase the chances of becoming pregnant! It is interesting that most patients coming to our consulting rooms do not feel conscious of their even obvious asymmetries. Sometimes they are astonished when we analyze their en face pictures. They say they did not realize it before.

As the key to facial symmetry, the nose itself often deviates, not only the septum, but sometimes the whole pyramid (ridge) or the tip, or the whole nose might be more or less asymmetric. In planning our surgeries we should pay attention to this point especially if the patients themselves ask for it. If they do not notice these irregularities, we are obliged to ask them if they would like them to be corrected if an operation has to be done. If they agree, we can try to harmonize these mosaic stones in the face, to make it more attractive. For instance, when one side of the face sags more than the other one, the less flaccid side

Chirurgie Esth Tique Corps Entier
  1. 8.5. a The nose is the key to facial harmony - middle third of vertical length of the face and the middle structure of the facial symmetry dividing the face into left and right halves; here the deviation is to the left. b Same patient 3 months postoperatively. c As a piano player she wore glasses for no ophtalmological reason, just to distract attention from the shape of her nose. d No need for glasses after correction
  2. 8.5. a The nose is the key to facial harmony - middle third of vertical length of the face and the middle structure of the facial symmetry dividing the face into left and right halves; here the deviation is to the left. b Same patient 3 months postoperatively. c As a piano player she wore glasses for no ophtalmological reason, just to distract attention from the shape of her nose. d No need for glasses after correction can be lifted less than the opposite side, or if one eyebrow is lower than the other one, it should be lifted more to achieve postoperative symmetry, etc. All these elements can be taken into account when the aim is surgical beautification. Some photographic examples of these changes document this.

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