Qualitative (without numerical measurements) Evaluation Method in Face Analysis
Episode 1
In this face analysis, qualitative evaluation is made without numerical measurements. First of all, the patient’s age, gender, height and weight, racial characteristics, hormonal balance are questioned and recorded.
Head position is extremely important in this analysis method and can affect other parameters.
Evaluation definitions used on the aesthetic areas of the face in this analysis method; normal, symmetrical-asymmetrical, present-absent, long-short, small-large, wide-narrow, deep-superficial, concave-convex, full-incomplete, flat-sloping, far-near, balanced-unbalanced.
Evaluation of facial anatomical structures
The soft tissue on the face is supported by bone, cartilage and tooth structures. The eyeballs support the eyelids and the eye area.
In the first picture, bone, nasal cartilages, teeth and eyeballs are shown from the supporting tissues on the face. In the 2nd picture, the areas where the support tissues are dense on the face, and in the 3rd picture, the darkest areas are the areas where the support tissues are most intense.
Evaluation of local adiposity increase in facial analysis
With weight gain on the face, fat accumulation occurs on the cheeks, anterior part of the ear, under the chin and under the jawbone. On the other hand, there is no fat accumulation in the forehead and nose. This is important in facial aesthetic evaluations. Therefore, caution should be exercised in these areas.
The following steps are used in the evaluation of anatomical areas from the face skin to the lowest bone tissues.
1. Evaluation of the skin; This is done by skin examination. Skin tone, elasticity, ptosis, pigmentation, dynamic structure and scars on its surface are examined.
In the evaluation of the skin, classification is made according to the sun reaction and tone of the skin. The table below shows this.
2. Evaluation of skin wrinkles; For this, the following classification is used.
3. Evaluation of the skeletal structure/fullness of the face; The following classification is used.
4. Evaluation of facial soft tissue laxity or the ability of the skin to move over the underlying bone and muscle tissue
5. Evaluation of working activities of facial muscles; This can be evaluated especially with the muscles around the eyes and mouth.
frontal analysis of the face
The middle oval part of the face is extremely important in the general evaluation of the face from the front. This is perhaps the first area that attracts the most attention. In this area, eyebrows, eyes, nose, cheekbones, mouth and lips and chin come to the fore.
anterior oval of the face
Evaluation of the width and length of the face and determination of the face type
We know that the face has different shapes in men and women. To define these shapes, the widths and heights of the face are compared. Thus, long-short, wide-narrow and square-triangle definitions of the face are provided. The heights and widths used for this
face shapes in women
Face shapes in men
face height;The distance between the border of the hair on the forehead-trichion and the lowest point of the chin-menton
Bigonial width;Width between the two outermost points of the corners of the lower jawbone in frontal view of the face
Bimental width; Cwidth between the two most prominent points of the width
Bitemporal width;The widest two-point distance in the temporal, i.e. temple
Bizygomatic width;The width between the two outermost points of the cheekbones when viewed from the front.
In determining the shape of the face, the height of the face is compared with the widths.
Wide/narrow face;If the width of the face is more than 4 times the height of the face, it means a wide face.
long/short face;If one fourth of the face height is more than the face width, it means a long face.
Evaluation of Facial Symmetry
Symmetry is evaluated by marking the midpoints of the face (such as the middle of the eyebrow, the ridge of the nose, the midpoint of the upper lip and the chin). As well as using a pen for this, symmetry evaluation can be made with the help of a computer.
When the midline lines are combined, asymmetry is observed on the patient’s face.
When the midline lines are combined, asymmetry is observed on the patient’s face.
Facial symmetry is evaluated by computer.
Facial symmetry is evaluated by computer.
Evaluation of the triangle formed by facial tissues
The tissues forming a young and beautiful face form a triangle with the opening facing downwards. This triangle is reversed with aging, the reduction of supporting tissues and gravity.
Reversal of the natural triangular structure of the face with aging and displacement of tissues in the first picture. Older and tired expression on the face. Reconstruction of this triangle after aesthetic applications
Basal analysis of the face
In the basal view of the face, the relationship and symmetry between the cheeks, nose, nose length, eyeballs and zygomatic arch in the cheekbone area and the chin are evaluated.
Facial base evaluation of the face checking symmetry
Oblique analysis of the face
In the oblique evaluation of the face, the area is divided into 2 and evaluated.
1. The anterior part of the face is evaluated better in the oblique view. The temples, cheekbones, eyes, cheeks, anterior ear and jawbone are best evaluated in this respect.
In this oblique evaluation, the nose and nasal ridge are also better evaluated.
This angle is ideal for the evaluation of the ridge of the nose.
In the second oblique evaluation, the profile line that appears between the contour of the face and the ground is formed. This line has gentle slopes and is S-shaped, defined as the “Ogree line”. In a young face, this S curve starts in the eye and becomes convex by widening at the cheek junction of the eye. This convex structure is most prominent in the nose type. This convex continues up to the upper lips, where it is slightly concave, continues convex with the chin and ends at the neck.
This angle is ideal for evaluating the oblique outer edge of the face, that is, the S line.
In the 1st picture, the change of the S line is seen when the patient is evaluated from an oblique angle. Aesthetically normalization of the S line after aesthetic applications to the patient
Sometimes in face analysis, this evaluation can be more valuable than the angle evaluations of the face.
In the 3 pictures above, the angles are the same on all faces, but the S line from left to right is more ideal.
