Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for consultation regarding facial masculinization. Goals include increasing mandibular definition, sharpening the gonial angle, augmenting the chin projection, and creating a more robust midface profile. Patient reports desire for a more angular, masculine facial aesthetic. No history of prior facial fillers or surgical interventions.
Clinical Examination Findings
Facial analysis reveals a soft, rounded jawline with limited gonial prominence. Chin projection is neutral to slightly retrusive. Midface shows lack of zygomatic definition. Skin quality is good with adequate elasticity. No signs of facial asymmetry or underlying bony pathology. Cephalometric assessment indicates favorable anatomy for structural augmentation.
Treatment Protocol
Proposed plan: Structural facial masculinization via targeted dermal filler injection (calcium hydroxylapatite or high-G prime HA) to the mandibular angles, chin, and zygomatic arches. Alternatively, discuss surgical options including custom implants or genioplasty. Patient counseled on risks of bruising, swelling, asymmetry, and vascular compromise.