3. Assess the negative emotions of the face, such as tiredness (peri orbital volume loss) or sagginess (midface and lower face volume redistribution).
Once there is an appreciation of these areas, a beautification plan can be made depending on patient priorities. However, it is the responsibility of the physician to ensure patients understand that simply volumizing the lips or cheeks may not elevate their esthetics. Facial proportions, or aiming for them, must be adhered to. If there is a masculinisation of the face in females, with a wide jaw, then either botulinum toxin to atrophy the masseter and narrow the jawline or dermal fillers to volumize over the zygomatic arches and widen the upper third is warranted.