Advanced facial rejuvenation and feminization strategies: from assessment to implementation
In aesthetic medicine, facial harmony is not only determined by proportions but also by how our emotions are expressed through anatomy.
Moods such as sadness, fatigue, or anger can become more pronounced with age, affecting both the perception of beauty and the patient’s self-esteem. For this reason, modern aesthetic approaches should take into account both emotional assessment and the principles of facial feminization and beautification.
In this article, we break down how to analyze and treat these negative vectors through advanced filler techniques, based on anatomical safety and a deep aesthetic understanding.
Initial Assessment: Diagnosis of Negative Vectors
Indicators of diminished health (green)
- Temporal depression (due to loss of deep fat)
- Excess upper eyelid skin
- Morning periorbital edema
- Visible infraorbital bags
- Excess medial cheek tissue
- Marked nasolabial fold
- Jawline laxity with inverted “S” shape
Symptoms of anger or emotional severity (red)
- Hyper-elevated brow post-botox (>14°)
- Reduced orbicular opening (small eyes)
- Pronounced nasal grooves due to nasalis action
- Nasal flare when smiling (LLS and LLSAN muscles)
- Downturned or closed oral commissure
Signs of sadness (blue)
- Drooping of the lateral canthus
- Deep tear trough
- Drooping oral commissure
- Excessive contraction of the mentalis (orange peel skin)
- Descending mentolabial fold
- Poorly defined jawline
Technical Correction Strategy: Fillers and Myomodulation
Correction of frontal hyperactivity
- Filler injections in the lateral frontal groove and temporal fossa
- Basic botox plan in the glabella (five points)
Ocular contour and gaze improvement
- Filler in zygomatic arch (temporal and zygomatic sutures)
- Base of the tear trough
- Under the lateral canthal ligament
Cheeks and mid-lateral transition
- In front of the zygomatic ligament: harmonious cheek integration
- Malar with Juvederm Voluma at 20–30° for lateral projection
- Submalar to avoid medial excess
Correction of lines and grooves
- Marionette lines: botox in nasalis transverse (3–4 U)
- Nasal flare: intradermal botox in nasal dilator muscle
- Nasolabial folds: treat medial to the buccal-maxillary ligament
- Perioral lines: indirect approach before lip treatment
Jawline and chin redefinition
- Pogonion + chin apex with structural products
- Mandibular angle + sub-zygomatic area
- Connection between chin and angle: oblique line over bone
Facial Feminization: Proportion, Light, and Controlled Volume
Forehead
- Injections over bone under galea for convex luminosity
Nose
- Injections in radix and supratip for balanced projection
- Straight dorsal line, harmonious profile
Lips
- Well-defined Cupid’s Bow
- Transcutaneous technique for tubercles and philtrum
- Controlled volume without upper lip overprojection
Chin
- Width equal to nose and intercanthal distance
- Create central light reflex (pogonion)
Cheek
- Projection point: intersection between vertical line (tail of brow) and oblique line (lateral canthus to ear)
Jawline
- Aliaxin Superior Volume (SV) in L-shape from angle to chin
- Avoid central fat and skin area (over facial artery)
Conclusion
Modern facial harmonization requires a comprehensive approach: correcting negative vectors, respecting functional anatomy, and applying safe techniques that create beauty without rigidity.
Feminization is not only a matter of volume, but also of light, proportion, and expression.
At CIME Academy, we teach these techniques with anatomical rigor and aesthetic vision, preparing doctors to intervene with precision and ethics.
Do you want to learn how to assess and treat emotional vectors with anatomical precision and natural results?
Discover CIME Academy’s advanced courses, with the highest clinical and academic standards.
Location: Calle Entenza Nº 144, 08929 Barcelona – Clínica CIME Barcelona
WhatsApp: +34 690 864 816
E-Mail: secretaria@cimeacademy.com
