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Introduction.

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Assessing the Upper Face: Forehead and Periorbital Region.

Kavita Mariwalla1, Sabrina Fabi2, Daniel Belkin3

  • 1Mariwalla Dermatology, Long Island, New York.

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|December 1, 2025
PubMed
Summary
This summary is machine-generated.

Upper face rejuvenation requires understanding diverse ethnic anatomical variations and cultural aesthetic preferences. Tailoring minimally invasive treatments ensures natural, harmonious results for all patients.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Aesthetic Medicine

Background:

  • The upper face significantly impacts facial expression and perceived age.
  • Current aesthetic treatments often overlook ethnic and cultural diversity in facial anatomy and preferences.

Purpose of the Study:

  • To review upper face morphology and aging across diverse populations.
  • To provide guidance for culturally sensitive assessment and rejuvenation strategies.

Main Methods:

  • Expert panel review of anthropometric data and literature.
  • Synthesis of region-specific aging trends and treatment strategies.
  • Emphasis on noninvasive and minimally invasive modalities.

Main Results:

  • Identified distinct anatomical and aging patterns across various ethnic groups (African, East Asian, South Asian, etc.).
  • Highlighted key variations in orbital depth, brow position, eyelid morphology, and skin characteristics.
  • Noted cultural preferences influencing aesthetic goals (e.g., East Asian convexity, Middle Eastern brow definition).

Conclusions:

  • Effective upper face assessment necessitates anatomical precision and cultural awareness.
  • Personalized treatment strategies integrating ethnic variability and beauty ideals yield natural outcomes.
  • Minimally invasive treatments, when tailored, can restore balance and rejuvenate the upper face.