Cosmetic Patient Evaluation

  • Tian Ran Zhu
  • Ali Banki
  • Mohammad BankiEmail author


A facial cosmetic surgeon must have an in-depth knowledge of facial anatomy and its associated hard and soft tissues. It is imperative for the surgeon to be able to appreciate and define elements of facial aesthetics as well as the stigmata of an aging face. It is critical to be able to objectively analyze facial features preoperatively in order to correctly identify areas of concern and to arrive at an appropriate treatment plan for each patient. This chapter will review how to properly perform an aesthetic facial evaluation.


  1. 1.
    Greer DM. Psychiatric consultation in plastic surgery: the surgeon’s perspective. Psychosomatics. 1984;25(6):470. 472–4CrossRefPubMedGoogle Scholar
  2. 2.
    Warren RJ, Neligan PC. Plastic surgery, vol 2: aesthetic surgery. 3rd ed. Philadelphia, PA: Saunders; 2013.Google Scholar
  3. 3.
    Flint PW. Cummings otolaryngology. Head & neck surgery. 5th ed. Philadelphia, PA: Mosby Elsevier Health Science; 2011.Google Scholar
  4. 4.
    Nahai F. The art of aesthetic surgery: principles and techniques, three volume set, second edition. 2nd ed. CRC Press; 2012.Google Scholar
  5. 5.
    Rodriguez E, Neligan P, Losee J. Plastic surgery, craniofacial, head and neck surgery and pediatric plastic surgery. Philadelphia, PA: Elsevier Health Sciences; 2012.Google Scholar
  6. 6.
    Marianetti TM, Gasparini G, Midulla G, et al. Numbers of beauty: an innovative aesthetic analysis for orthognathic surgery treatment planning. Biomed Res Int. 2016;2016:6156919.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Papel ID, Frodel JL. Facial plastic and reconstructive surgery. 4th ed. New York: Thieme; 2017.Google Scholar
  8. 8.
    Kornstein AN, Nikfarjam JS. Fat grafting to the forehead/glabella/radix complex and pyriform aperture: aesthetic and anti-aging implications. Plast Reconstr Surg Glob Open. 2015;3(8):e500.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Lazovic GD, Daniel RK, Janosevic LB, Kosanovic RM, Colic MM, Kosins AM. Rhinoplasty: the nasal bones—anatomy and analysis. Aesthet Surg J. 2015;35(3):255–63.CrossRefPubMedGoogle Scholar
  10. 10.
    Guyuron B, Kinney BM. Aesthetic plastic surgery video atlas. 1st ed. Philadelphia, PA: Saunders; 2011.Google Scholar
  11. 11.
    Meneghini F. Clinical facial analysis: elements, principles, and techniques. 2nd ed. Berlin: Springer; 2012.CrossRefGoogle Scholar
  12. 12.
    Zacharopoulos GV, Manios A, Kau CH, Velagrakis G, Tzanakakis GN, de Bree E. Anthropometric analysis of the face. J Craniofac Surg. 2016;27(1):e71–5.CrossRefPubMedGoogle Scholar
  13. 13.
    Cobo R. Ethnic considerations in facial plastic surgery. 1st ed. New York: Thieme; 2016.Google Scholar
  14. 14.
    Weinberg SM, Leslie EJ, Hecht JT, et al. Hypertelorism and orofacial clefting revisited: an anthropometric investigation. Cleft Palate Craniofac J. 2016.Google Scholar
  15. 15.
    Sharma RK. Hypertelorism. Indian J Plast Surg. 2014;47(3):284–92.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Yalçınkaya E, Cingi C, Söken H, Ulusoy S, Muluk NB. Aesthetic analysis of the ideal eyebrow shape and position. Eur Arch Otorhinolaryngol. 2016;273(2):305–10.CrossRefPubMedGoogle Scholar
  17. 17.
    Papel ID. Blepharoplasty (Thomas procedures in facial plastic surgery). 1st ed. Pmph USA; 2013.Google Scholar
  18. 18.
    Aquino YS, Steinkamp N. Borrowed beauty? Understanding identity in Asian facial cosmetic surgery. Med Health Care Philos. 2016.Google Scholar
  19. 19.
    Wang C, Pu LL. Commentary on: visual, physiological, and aesthetic factors and pitfalls in Asian blepharoplasty. Aesthet Surg J. 2016;36(3):284–6.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Park DD. Aging Asian upper blepharoplasty and brow. Semin Plast Surg. 2015;29(3):188–200.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Naini FB, Cobourne MT, Garagiola U, McDonald F, Wertheim D. Nasofrontal angle and nasal dorsal aesthetics: a quantitative investigation of idealized and normative values. Facial Plast Surg. 2016;32(4):444–51.CrossRefPubMedGoogle Scholar
  22. 22.
    Kosins AM, Daniel RK, Nguyen DP. Rhinoplasty: the asymmetric crooked nose-an overview. Facial Plast Surg. 2016;32(4):361–73.CrossRefPubMedGoogle Scholar
  23. 23.
    Azizzadeh B, Reilly M. Dorsal hump reduction and osteotomies. Clin Plast Surg. 2016;43(1):47–58.CrossRefPubMedGoogle Scholar
  24. 24.
    Foda HM. Nasal soft-tissue triangle deformities. Facial Plast Surg. 2016;32(4):339–44.CrossRefPubMedGoogle Scholar
  25. 25.
    Fedok FG. Primary rhinoplasty. Facial Plast Surg Clin North Am. 2016;24(3):323–35.CrossRefPubMedGoogle Scholar
  26. 26.
    Kridel RW, Kwak ES, Watson JB. Columellar aesthetics in open rhinoplasty. Facial Plast Surg. 2016;32(4):333–8.CrossRefPubMedGoogle Scholar
  27. 27.
    Shiffman MA. Advanced cosmetic otoplasty: art, science, and new clinical techniques. Berlin: Springer; 2013.CrossRefGoogle Scholar
  28. 28.
    Sataloff RT, Sclafani AP, Spalla T. Surgical techniques in otolaryngology—head & neck surgery: facial plastic surgery. Chapter 2. Aesthetic facial analysis. 1st ed. Jaypee Brothers Medical Pub; 2014.Google Scholar
  29. 29.
    Connell BF, Gaon A. Surgical correction of aesthetic contour problems of the neck. Clin Plast Surg. 1983;10(3):491–505.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Warren Alpert Medical School of Brown UniversityProvidenceUSA
  2. 2.GlastonburyUSA
  3. 3.University of New England College of Osteopathic MedicineBiddefordUSA
  4. 4.Department of DermatologyUniversity of ConnecticutFarmingtonUSA
  5. 5.Saint Francis Hospital and Medical CenterHartfordUSA
  6. 6.Artistic Contours and MSL SurgeryWarwickUSA
  7. 7.Clinical Faculty, Department of SurgeryWarren Alpert Medical School of Brown UniversityProvidenceUSA
  8. 8.Division of Oral and Maxillofacial Surgery, Clinical FacultySchool of Dental Medicine, University of ConnecticutFarmingtonUSA

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