In this video, Dr. Fernando Amato @Dr Fernando Amato , Plastic Surgeon at Instituto Amato, will talk about: Facial harmonization, facial disharmonization, or facial demonization, the risks of undergoing this procedure with just anyone and harming your health! A controversial topic worth discussing

Facial harmonization is a
term widely used

lately for procedures
on the face, to harmonize the face.

But don't we,

sometimes, get scared
by facial harmonization,

because we have seen
some patients who have not had,

are not doing facial harmonization well.

Sometimes, we even joke
that it's a facial disharmonization

or even a facial demonization.

I am saying this,

bringing this topic,
because many patients seek

the facial harmonization procedure.

And end up not understanding
the concept of facial harmony.

Well, on the face,

we have eyelids, we have a nose,
we have ears, we have the shape of the face,

we have hair implantation,
we have eyebrow position,

there are many things on the face that contribute
to facial harmonization.

Even teeth, a complete smile,
with all teeth, with clean teeth,

this teeth whitening,

so, all this influences.
And what is harmonic?

What is harmonic? Harmonic
will be that which is more symmetrical.

People try to make one
side more similar to the other side,

and with a more accepted appearance
in society, that looks better

perhaps on cell phones, in filters,
they don't need to use so much

cell phone filter to take photos,

take selfies, post on Instagram,
post on Snapchat and TikTok.

So there are all these media,

sometimes, it interferes a lot in this part,

affects patients, which is
facial harmonization.

Well, whoever seeks

facial harmonization must know
that it is not just a hyaluronic acid filler.

So, we do use filler,

the most common material
is hyaluronic acid,

which provides volume
in some regions of the body,

mainly the face.

And it is absorbable,

many people complain that
it is absorbable because it doesn't last, but

the fact that it is absorbable
gives more security.

There is a greater chance that if someone
wrong, with time, it improves.

Of course, there are situations
where even this hyaluronic acid

takes a long time to absorb,
and yes, it has complications.

It is not free of complications.
Botox is a brand,

we call it botulinum toxin
and there are other brands,

Nabota, Dysport, Xeomin.

And they serve
to paralyze the musculature,

we generally use it in the frontal region,

because they are the muscles for
raising the eyebrow.

Sometimes, we can even make
the eyebrow higher

by relaxing this musculature in a
strategic way, around the eyes,

crow's feet also,
we can perform

botulinum toxin. Hyaluronic acid,

we can do it in several areas
where there was bone consumption,

depending on the patient's age,
but we can do it in the malar region,

temporal region,

can do it in the sulcus, in the folds,
to try to soften these folds.

We can use biostimulators
that cause, that provide

collagen production in the skin,
so it improves skin texture.

This also reduces
wrinkles, facial wrinkles.

And there are surgical procedures,

blepharoplasty, will contribute
to facial harmonization. The

eyebrow lift,
which can be done with threads

with local surgery,
with video surgery,

it will also provide
facial harmonization as well.

Rhinoplasty, sometimes the patient has a
beautiful face and a disproportionate nose.

Larger size or it can be crooked.
So it can really,

rhinoplasty can contribute
to facial harmonization. Or in the chin,

sometimes, the patient
has some alteration in the chin,

which can also involve
chin advancement,

placing a chin implant. It's important
to remember that the face has teeth

and the patient's bite interferes.

So, if the patient does not have a correct
bite, this needs to be corrected.

In these surgeries, orthognathic
surgeries greatly change the shape of the face.

There are those who do,

there are even plastic surgeons who do

orthognathic surgery, but who mostly
do it are maxillofacial surgeons, who are dentists.

Ears also, sometimes,
patients with prominent ears.

This can be somewhat discordant,
the position of this patient's hair,

a little hair loss at the front,

so it is possible to do a
hair transplant

and, sometimes, even makeup can
contribute to facial harmonization,

working a little bit with
the colors, the lipstick color.

So all this contributes. Hair,
hair color, bleaching,

a darker color,
lighter streaks,

highlights.

So all this can interfere,
but there is a great risk of this,

facial disharmony,

when the patient ends up
asking for more volume

or, sometimes, even the patient
seeks a professional who is not,

not so qualified
for that procedure.

When

filling ended up

being popularized

in other health specialties,
no longer something that

only doctors do.

So, this is a fight

with the medical society and with the society
of dentistry, pharmacy, nursing,

other professionals end up
invading this and doing it.

So, as there is this discussion,
it ends up that

the patient looks for the cheapest
and this cheap can turn out to be very expensive.

Will there be people who do it, dentists
who have great results, pharmacists,

biomedical professionals and nurses? Yes,
but the vast majority,

they have very short training

to be able to sell that service.
The plastic surgeon

who does six years of medicine,
two years of general surgery,

three years of plastic surgery,
plus some specializations,

ends up being the dentist who did four,
five years of college.

And then, there's the other who did four or
the other who did less and less

time in college.

The doctor who worked full-time,
the other has only an evening course,

so has less familiarity
with anatomy.

And that's where we start

to have this facial disharmony, in addition to the
increased risk of complications

such as infections or with
premature loss of results,

many times, to be cheaper,
a lower quality material is used

or a material, perhaps a more diluted
Botox with botulinum toxin,

so, they divide more to be able to use
and more patients

will have a less lasting effect.

So, this facial disharmonization
or facial demonization

ends up being related
to this popularization

of these cosmeceutical procedures

of filling performed
by other professionals,

not free from bad results from
medical colleagues, because it is also not

something that only plastic surgeons
do.

Dermatologists do it

and other specialties
have ventured into this.

There is a specialty that is not
recognized, which is aesthetic medicine,

and people want to sell it.

So, if you go to a,

to one of these professionals and say
“Doctor, what do I need?”

He will

put everything he can sell

for you to be able to perform
and for him to earn.

So you need to have a
professional who tells the truth.

“Look, this you need,
this you don't need.”

If you want to do this first,
let's see the result,

if you adapt to the result,
it is

generally like this,
you need to see if you have never done it.

So, I think it is
important to have this exchange,

this contact with the professional
you are choosing

also, be very

attentive to the conditions of the place,
be attentive to very low prices,

these promotions, promotion
I don't know what it is only now.

Be very careful
because that's where the danger lies.

The scam is there, whoever falls for it, right?!

So, I think we have
to be very careful.

Who are these professionals who
are doing it, be very careful

and choose who will do your
facial harmonization

so they don't demonize,
disharmonize your face.

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