Emotional assessment and structural beautification: an advanced clinical guide
In modern aesthetic medicine, the goal is no longer just to erase wrinkles or add volume. Today, beautifying a face requires a deep understanding of its emotional vectors—how eyebrow position, muscle tone, or facial volume can convey sadness, anger, or fatigue, even in a young or well-maintained face. In this article, you will learn how to recognize these signs and address them using advanced injection techniques, following the structured and emotion-focused clinical approach developed by Dr. Manuel Rubio.
Emotional Assessment: Sadness, Fatigue, and Severity
Signs of Sadness
- Descended lateral brow (angle <12°)
- Drooping of the upper lateral eyelid
- Depressed tear trough
- Prominent nasojugal groove
- Deep nasolabial fold
- Downturned oral commissures
- Chin dimpling from mentalis hyperactivity
Proposed corrections: Injection into the temple to lift the brow, zygomatic arch for volume projection, jawline to reposition the commissure, and Aliaxin Superior Volume SV (IBSA) into the mentalis to modulate contraction.
Signs of Fatigue or Perceived Poor Health
- Temporal hollowing
- Excess skin on the upper eyelid
- Morning periorbital edema
- Deep nasolabial folds
- Prominent under-eye bags
- Loss of volume in the medial buccal region
- Irregular jawline
Proposed corrections: Aliaxin Essential Volume EV in the temples and forehead, avoiding orbicular festooning, medial technique close to facial ligaments, and lifting of the lower buccal region.
Signs of Anger or Emotional Severity
- Overly arched brow (>14°)
- Reduced orbicular aperture (small eyes)
- Marked glabellar lines (frown)
- Nose elevates and lengthens when smiling
- Downturned oral commissures
- Chin tension (“orange peel” skin texture)
- Sagging jawline
Proposed corrections: Myomodulating fillers in the temples and forehead to soften the brow apex, Aliaxin Essential Volume EV at the LLS/LLSAN ligament, Aliaxin Fine Lines FL for lip eversion, and Aliaxin Superior Volume SV in the mentalis and modiolus to harmonize expression.
Technique Based on Emotional Vectors
The traditional “compartment” or zonal approach is surpassed by the vector-based approach: every line, shadow, or depression on the face conveys an emotional charge. Identifying them allows the practitioner to intervene not only aesthetically, but communicatively. This assessment enables the creation of a comprehensive plan that includes:
- Lateral lifting of the face (to counteract descending vectors)
- Controlled medial injections (to correct depressions and bags)
- Strategic myomodulation (to balance chronic muscular hypertonicity)
Conclusion
Dermal fillers have evolved from being volumetric tools to becoming true modulators of facial language. Recognizing and correcting negative vectors not only rejuvenates but also softens expression, boosts patient confidence, and improves non-verbal communication. At CIME Academy, we train our students to master these techniques with a comprehensive medical, aesthetic, and emotional vision.
Want to learn how to analyze and treat the face with this level of clinical and aesthetic precision?
Discover our hands-on training programs in facial harmonization and myomodulation at CIME Academy.
Location: Calle Entenza Nº 144, 08929 Barcelona – Clínica CIME Barcelona
WhatsApp: +34 690 864 816
E-Mail: secretaria@cimeacademy.com
