Visual Aesthetics (VA) Methodology: A Strategic Approach to Facial Rejuvenation

The demand for natural, harmonized facial rejuvenation has shifted aesthetics practice from localized correction toward comprehensive full-face strategies. However, many current injection techniques remain region-based, leading to inconsistent results and limited reproducibility. Reliable and reproducible methodologies are essential for delivering outcomes that align with patient expectations and broader aesthetic ideals.

To introduce the Visual Aesthetics (VA) methodology, a structured, patient-centered framework designed to enhance standardization, safety, and clinical outcomes in injectable facial rejuvenation.

VA methodology is built on four sequential pillars across the patient journey: (1) Communication-eliciting true patient insight beyond stated complaints; (2) Analysis-applying Visual Impact Analysis (VIA) to assess proportion, framework, sagginess, and projection; (3) Planning-sequencing treatment via vector aesthetics (lifting → projection → volume optimization → detail enhancement); and (4) Execution-performing anatomy-based targeted injections (TIs) codified with seven parameters for enhanced reproducibility and safety. Two illustrative cases (31- and 60-year-old Thai females) demonstrated its clinical application and outcome durability of this methodology.

Sustained aesthetic improvement was observed at 24 and 27 months in the two illustrative cases, including enhanced midface support, chin projection, and correction of tear troughs or jowl sagging. Patients reported high satisfaction. No major complications were encountered when safety protocols were followed, including adherence to vascular alert mapping and preparedness to administer hyaluronidase in the event of vascular compromise.

VA methodology provides a reproducible and holistic framework that integrates anatomical precision with individualized goals. Further multicenter studies are warranted to validate long-term outcomes and to explore their applicability across diverse clinical and cultural settings.