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by boii18 » Sat, 21 Feb 2009 2:25 am
To update on my progress and future surgeries.
I think that I improved by quite abit compared to the original point during Phase 1 of my makeover project.
But now I'm moving on to Phase 2 to correct other imbalances.
I will name the imbalances
* Represents severe deformity
*
(1) Chin is too deficient, and comes hand in hand with a overbite malocclusion case. Method of evaluation was using the vertical line downward from the forehead, together with Rickett's Esthetic Line. There is a resultant deep mentolabial sulcus beyond 3 mm of the lower lip vermillion which combined with short chin and long upper lip is a very bad esthetic outcome.
*
(2) Sleepy and tired eyes, with evidence of dark eye circles. My pupils are also abit smaller than normal. Ptotic eyes and ptotic eyelid. Also have wide intercanthal distance. Exacerbated by the fact that I have eyes that conform to the rule of facial fifths on the outside end of the eye, and do not comply to the rule at the inside end. Whats worse, the problem is exacerbated by asymmetry of eyes.
(3) Lips are too low down on the sides close to the jawline area. The central lip was lifted via lip lift. But the sides are not lifted high up enough. Will consider lifting
*
(4) Periorbital area is hollow and tired, probably a little sunken which can be fixed using filler injections or fat injections. It can even be corrected vi cheekbone repositioning as the malar fat pad is repositioned vertically upwards and anteriorly compared to the zygoma complexes.
(5) Nose can be refined further, as the nose tip is slightly bulbous. The angle of the tip to the line perpendicular to the frankfort vertical ( naso facial angle? ) is abit too high, can be decreased if need be slightly. But it may look older.
*
(6) Lower lip is too everted, due to deficiency in the mandibular bone and due to the effect of the lip lift.
*
(7) Lower lip is abit too everted and large, and both lips can be reduced, even in terms of width, as the width is about 60% of mandibular-to-mandibular distance. The ideal width of lips as compared to mandibular-mandibular distance is around 40-50%, in fact is lower in guys.
(8) Hairstyle can be improved, skin can be improved, and other miscellaneous factors, even facial fat index, body fat index, etc.
(9) The angle of the chin is not nice, due to facial fat deposits at the neck area.
*
(10) The presence of the buccal fat pad which causes the cheekbone to have less definition, and causes the cheekbone to look lower than it really is, even though it starts at correct part.
(11) The cheekbone is asymmetrical in 3-dimensional and 2-dimensional aspects. It can be analysed via cephalogram and made more symmetrical. It can also be re-positioned inwards of the face to allow for better facial aesthetics.
(12) On the side view, the facial width is too wide, and there are some discrepancies but they cannot be corrected; I feel that as long as major discrepancies are corrected, it should be fine enough already.
(13) Forehead is too sloping and there is presence of frown lines which can be neutralised with botox. Fringe can also cover.
(14) Prominent and upward-rotated mandibular bone, which can be reduced and reshaped to give sharper contour to the face.
CONCLUSION : The combination of these factors result in a bad aesthetic outcome. A good part to realise is that the combination of high eyebrows, wide intercanthal distances, long upper lip, and wide zygoma complex, leads the face to take on a very dis-unified look in the 2D aspect. 3D wise, the presence of deep mentolabial sulcus, weak receded chin, long upper lip, relatively prominent cheekbones and nasal complex, leads to the look of "top-heavy-bottom-weak" which is very very bad and disharmonised.
