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Assessing the Lower Face: Lips, Chin, and Jawline
Kavita Mariwalla1, Sabrina Fabi2, Daniel Belkin3
1Mariwalla Dermatology, Long Island, New York.
Summary
Lower face aging varies by ethnicity, impacting aesthetic ideals. Tailored rejuvenation strategies using fillers and neuromodulators respect individual morphology for natural outcomes.
Area of Science:
- Aesthetic medicine and facial anatomy.
- Demographic variations in aging.
- Evidence-based cosmetic procedures.
Background:
- The lower face (lips, chin, jawline) is crucial for facial aesthetics and expression.
- Aging involves skeletal, soft tissue, and muscle changes, varying across ethnicities.
- Ethnic differences influence aesthetic ideals and aging patterns.
Purpose of the Study:
- To detail structural and cultural differences in lower face anatomy and aging.
- To present evidence-based strategies for individualized, ethnically sensitive rejuvenation.
- To align treatments with diverse patient priorities and aesthetic goals.
Main Methods:
- Synthesized anthropometric data, global literature, and clinical expertise.
- Analyzed lower face morphology and ethnic aging patterns.
- Incorporated patient priorities into treatment considerations.
Main Results:
- Observed distinct lower face characteristics and aging trajectories across populations.
- Identified common aging concerns: perioral atrophy (European descent), chin retrusion/jawline heaviness (Asian groups), pigmentation (richly pigmented skin).
- Noninvasive techniques (hyaluronic acid fillers, poly-l-lactic acid, neuromodulators) are effective for reshaping, volumizing, and contouring.
Conclusions:
- Lower face rejuvenation demands technical skill and cultural sensitivity.
- Personalized treatments considering ethnic morphology and aesthetic ideals yield natural results.
- Outcomes should align with patients' self-perception and cultural heritage.
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