The Double Ogee

The youthful face, when viewed at an oblique angle, maintains a characteristic volume distribution of its soft tissues, previously described in the midface by an architectural ogee or single S-shaped curve [10]; however, on more precise examination, the entire contour the youthful face generates follows a double ogee or double sigma when analyzed in a three-quarter view. To view this reciprocal multicurvilinear line of beauty, the face must be viewed in an oblique position that allows visualization of both medial canthi. In this position, the youthful face demonstrates a characteristic convexity of the tail of the brow that flows into a concavity of the lateral orbital wall (the upper ogee). This is joined by the convexity of the upper midface that flows into the concavity of the lower midface (the lower ogee) (Fig. 43.1).

Fig. 43.1. The oblique position (three-quarter view) allows visualization of the "double ogee" outlined on this beautiful face. Note the convexity-concavity-convexity-concavity generated by the profile. Volumetric or three-dimensional facial rejuvenation can restore and accentuate this multicurvilinear line of beauty

The aging face characterized by (1) the development of rhytids secondary to collagen damage, (2) downward, gravitational migration of the soft tissues, and (3) atrophy of the facial fat and bony skeleton allows this youthful double ogee line to become distorted or lost. Rejuvenation of the aging face should address each of these characteristic features in an effort to restore volume and to recreate the reciprocal mul-ticurvilinear line of beauty (the double ogee).

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