How To Use CT3+V: An Equation For Creating Facial Beauty

CT3+V = A simple equation for creating or restoring facial beauty.

We all know that "Beauty" is in the eye of the beholder. When it comes to creating and restoring facial beauty, we collaborate and negotiate with our patients (and sometimes their family and friends) to optimize the result and reduce the risk by using more conservative aliqotes of different techniques and technologies. Each practitioner brings their own unique skill-set and biases to the procedure room. We (hopefully) listen to the patient requests, evaluate what the underlying structure, tolerance for downtime and discomfort, economic consequenses and duration of effect is, to be able to offer the patient a scientifically valid, safe, sensible treatment plan. Then, we present a palette of procedures, techniques and technologies to consider.

What sets successful docs with many happy patients apart from the rest of the competition is attention to detail, listening to their patients (and sifting out the unrealistic ones) and having a plan that is recreated in some form (it's never the exactly the same twice) again and again.

My equation (tool) for discussing and creating facial beauty (or re-creating a more youthful appearance) is CT3+V = Beauty... short for Color, Texture, Tone, Tightness and Volume (in proportion or re-establishing proportion)

When the patient (on request) brings pictures of their face and neck that show them in yourthful repose, it is a strong tool to build consensus of what procedures and when in the scheme of possiblities, to pursue. Compare the old photos to current digital pictures obtained in 5 views-front-quarter and side views against a solid background with decent lighting and a portrait lens. Now diagnose the changes and educate the patient on the many ways you have to enhance and revitalize the issues you uncover in a systematic manner:

Color-pigment mottling and broken blood vessels respond well to various IPL's, NdYAG's, PDL's and KTP lasers depending on the patient's heritage (Fitzpatrick or Lancer skin type);

T3 (Texture, Tone and Tightening)-decide if the issues are epidermal, dermal or sub-cutaneous and treat with chemical or laser peels, focused ultrasound or radio-frequency and remember the skin looks better when "on-stretch", so Volume and surgery fit here too.  Toxins soften the dynamic wrinkles and shape the brow, but should be delivered in a artful manner that yields a natural, rather than "done" result;

Volume-Pierre Fournier, MD (Paris) taught us that "the look of youth is full" and the current saying "size matters" comes in to play here too.  Youthful features are generally softer and rounder, age makes them more severe and hollow.  Surgery helps take the luff out of the sail or the sag out of the jowl and neck, but does not effect volume very effectively.  Volume is at least as (and maybe more) important long term.  Fat and fillers (I prefer fillers for face) are a great way to go as long as you educate the patient as to how much it will really take and offer them permanent fillers (like Artefill in the USA) that can serve them well long term, once they find the look they want to preserve.

So-with every patient: define the issues, make a mutually agreeable long term plan, track the progress with digital pictures and keep an open dialog and flexibility, so that both you and your patient achieve happiness and WOW results long term. Happy patients refer their friends. Surviving aesthetic medicine these last 15 years is no accident....it's all been done with mirrors and this equation!

Plastic Surgery & Beauty

Plastic surgeons and even med spa physicians offering Restylane and Juvederm would be well intentioned to make sure that they understand the cannons of what beauty actually is. In many ways it's the elimination of asemmetry or extra 'noise' like wrinkles or pigment.

Via CNN: It's hard to pinpoint what distinguishes a gorgeous face from an average one, but some researchers are getting pretty close. Psychologist Lisa DeBruine, Ph.D., of the University of Aberdeen in Scotland says she's found that women's faces get more attractive to men when they are ovulating. "We're not entirely clear why there's this difference, but we think that the women might look healthier, have a bit of a healthier glow when they are ovulating."

Symmetry is another factor that determines a face's attractiveness. Kendra Schmid, an assistant professor of biostatistics at the University of Nebraska Medical Center, says there is a formula for the "perfect" face. She uses 29 different measurements to determine someone's appeal on a scale of 1 to 10.

To start, Schmid says the ratio of the length of the face to the width of the face should be 1.6, also known as the golden ratio."The face should also be divided into three equal pieces vertically," she says. "The forehead, then [the bottom of the forehead to] the nose and then from the nose to the chin."

Who's face is the most "perfect," according to Schmid's measurements? No big surprise here! "Brad Pitt's is the highest that I've ever used the [formula] on," she says. "He was a 9.3 [out of 10]."

Brad's partner, Angelina Jolie, didn't fare too badly either. "Angelina was a 7.67, and that's pretty high," Schmid says. "Most people rate about 4 to 6. ... The thing that is probably lowering her score is the thing that she's most famous for -- her full lips." Schmid says that ideally the width of a mouth should be twice the height of the lips.

Other celebrities Schmid tested were Halle Berry, who scored a 7.36, and Hugh Jackman, a 6.45. "There's never been anyone who was a perfect 10," Schmid says. "If you're out there, we're looking for you!"