Asian faces have several anatomic differences comparing to Caucasians’ with individual traits and features that have to be considered when it comes to facial reshaping. The differences have multiple aspects including the quality and elasticity of the skin, as well variations in the underlying fat tissue, muscle and shape of the bones.
As more patients of Asian background seek reshaping of their facial aspects, beauty ideals and techniques have to be individualized in order to avoid westernization of their features. As a matter of fact most Asian patients desire enhancement of their facial appearance without dramatic transformations that would erase their ethnic heritage.
A series of both surgical and non-surgical treatments can therefore be considered as well as customized to the individual features of each patient whilst the aesthetic outcomes can be very impressive.
How are the Jawline and chin different in Asians?
The lower third of Asian faces is typically wider than that of Caucasians and this is determined by the size and width of the mandibular(jaw) bone as well the thickness of the masseter muscle and underlying fat surrounding it. While a strong, square jawline can be an attractive facial feature for men, for women a softer and more triangular shape is often more desirable. Furthermore the size and shape of the chin can have a important impact on the overall appearance of the lower face
How can the Jawline, and chin be altered in Asian faces?
Changing the shape of the lower face from square to a more heart shaped has become an increasingly popular procedure, particularly for Asian females, who want to achieve slightly less angular contours. A combination of non surgical treatments such as Botulinum toxin and injectable Hyaluronic Acid fillers play an important role in recontouring the shape of these areas.
What is the masseter muscle?
The masseter is a large facial muscle extending between the jaw and the cheek bone that is responsible for chewing and mastication. Enlargement of the muscle can result in a wide and square jaw which is usually considered a masculine feature.
How does Botulin Toxin work and is it a safe treatment for jaw reshaping?
Botulinum toxin type A (BTTA) is a neurotoxin that has the ability to block the nerve activity in the muscles, causing a temporary reduction in muscle activity which in turn reduces the size of the muscle. As with any medical intervention careful analysis of the anatomy of the masseter muscle, in addition to skillful and precise placement of the neurotoxin are critical in achieving safe and aesthetically pleasing results. The toxin can soften the masseter muscle in a gradual fashion and without altering its function.
How long does it take to notice masseter slimming?
Patients typically notice softening of the masseter muscle at two weeks and reshaping of the jawline at six to twelve weeks. The treatment is staged as it is important to remodel the muscle in a staged fashion. Usually 20-25 Units are injected in each muscle and in a customized pattern to avoid localized hypotrophy. With two injections spaced three months apart most patients will achieve the desired effect with annual top ups to maintain the reshaped contours.
Can Masseter remodeling be combined with other treatments?
Masseter remodeling when combined with enhancement of the chin projection can have a powerful effect on the lower third of the Asian face, as the jaw line acquires a sharper definition and becomes more slender and attractive. Reducing the thickness of the masseter can also contribute to a higher projection of the cheekbones, as the treatment slims the lower third of the face.
Is there a different approach in treating Asian noses compared to Caucasian noses?
It is common for Asians to genetically have smaller and flatter noses with less 3D projection on the upper third or base of the nose. Although the general concepts in Asian rhinoplasty are similar to the non-Asian, the technical and aesthetic approach is different as Asians generally seek augmentation rhinoplasty, in contrast to Caucasians generally requiring reduction rhinoplasty. As a rule the nasal bridge in Asians is flatter, less defined and the tip of the nose wider and less angular. Injectable fillers using Hyaluronic Acid can have a very spectacular result in treating Asian noses.
What is hyaluronic acid filler and how is it used?
Hyaluronic acid(HA) filler is a safe and commonly used volumising agent that replaces one of the key structural components of the human face. With a gel-like water retaining property, hyaluronic acid fillers are produced in the laboratory via a biotechnological process. When injected into the skin HA fillers can replenish volume and reshape the contours in the desired areas of the face.
How are fillers used in Asian noses?
In selected patients desiring enhancement of their nasal features, volumising agents (hyaluronic acid and biostimulatory fillers) can be a valid alternative to surgical rhinoplasty. Reshaping the nasal bridge or re-contouring the tip projection can be achieved in a non invasive way, bypassing the invasiveness and recovery time that accompany a surgical procedure. This technique although not a substitute for surgical rhinoplasty can be a safe and immediately transformative option for Asian patients that desire a non surgical refinement of their nose.
How long does it usually take to notice the desired result?
The volumising effect is instant and patients notice the changes immediately after the procedure which is usually performed under topical anesthesia. Repeated sessions spaced 6 weeks apart might be necessary to refine the final contour. The new generation of hyaluronic acid filler have increased longevity and the effect can last up to one year although patients differ in their capacity to metabolize the filler.
Can Hyaluronic acid fillers help Asian eyelid and cheek regions?
Although Asian faces typically age better due to the thicker skin with more elastic fibers and slower rate of fat loss, the relatively flat midface and lack of volume in the under eye area can be responsible for a tired appearance even in younger patients. Unlike traditional surgical techniques, which alter volume proportions, augmenting what is lost in a minimally invasive fashion, is the latest trend in lower eyelid rejuvenation.
The Hyalu-Blepharoplasty procedure, smoothens the contours in the under eye area, and can restore a more youthful appearance in a zone that conveys so many emotions. The use of hyaluronic acid fillers can have a powerful effect in reshaping the eyelid-cheek contour and subtle changes, when executed correctly, can be transformative.
How do Asian Foreheads and Eyebrows differ from Caucasians?
The shape of the forehead has a key role in facial balance and attractiveness. The ideal forehead shape is rounded and more curved in females whereas for men a moderately projected forehead with low set eyebrows conveys a strong and masculine appearance. As the Asian forehead may be relatively flatter with low set eyebrows, forehead augmentation is a distinct form of aesthetic enhancement aiming to refine the facial balance of Asian female faces.
How is Forehead and Eyebrow reshaping achieved in Asians?
Although customizable implants and fat grafting are potential options, the use of hyaluronic acid fillers is ostensibly the least invasive and safest method by which one can improve the contours of the forehead and eyebrow. The technique not only improves the projection of the forehead but also provides a discreet lift to the eyebrow, giving the patient a more youthful and alert expression.