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Book and New Media Reviews
February 2002

The Art of Alloplastic Facial Contouring

Arch Dermatol. 2002;138(2):279. doi:10.1001/archderm.138.2.279

Drs Terino and Flowers along with their collaborators have produced a textbook on facial contouring that can be summed up in one word—beautiful. This text is divided into 7 sections, and, as with all textbooks, some sections are more appropriate for certain groups than others.

The section on Aesthetics and Evaluation presents the best description of the human facial contour and its components that I have read. Dermatologists with an interest in aesthetics (medical or surgical) should familiarize themselves with this section of the text. It is in this section that Dr Terino defines the goals of aesthetic facial surgery—restoration, rejuvenation, and enhancement—which are presented in great detail in the remainder of the text. He takes the same tenets of the aesthetically pleasing face I presented in Evaluation and Treatment of the Aging Face (New York, NY, Springer-Verlag, 1995), ie, the canvas upon which the eyes and lips are presented as the primary elements, and goes a step further by stating that "it is the anatomic configurations of volume and mass that control, dominate and determine the uniqueness of a beautiful face." He and the other contributors then build on this volume-and-mass relationship in the textbook to present a 3-dimensional sculpting of facial architecture.

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