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 undertaking 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 do we not,

sometimes, get startled
by facial harmonization,

because we have seen
some patients who have not been doing

a facial harmonization well.

Sometimes, we even joke
that it is a facial disharmonization

or even a facial demonization.

I am saying this,

bringing up this topic,
because many patients seek

facial harmonization procedures.

And they end up not understanding
the concept of facial harmony.

Well, on the face,

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

hair implantation,
eyebrow position,

there is a lot on the face that contributes
to facial harmonization.

Even teeth, a complete smile,
with all teeth, with clear teeth.

This teeth whitening,

so all this influences.
And what is harmonious?

What is harmonious? Harmonious
will be what is most symmetrical.

People try to make one
side look more like 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 pictures,

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

So there are all these media,

sometimes, they interfere a lot in this part,

affecting patients, that 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,

especially 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
provides more safety.

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

Of course, there are situations
where even this hyaluronic acid

takes a very 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 work
by paralyzing the muscles,

we usually use it in the forehead region,

because these are the muscles that
elevate the eyebrow.

Sometimes, we can
even make the eyebrow higher

by relaxing these muscles in a
strategic way, around the eyes,

crow's feet also,
we can perform

botulinum toxin. Hyaluronic acid,

we can use in several areas
that have suffered bone loss,

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

temporal region,

we can use it in the folds, in the creases,
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, it 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.

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
a chin advancement,

placing a chin implant. It is 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.

Some people do it,

there are even plastic surgeons who perform

orthognathic surgery, but those who end up
doing it more are maxillofacial surgeons

who are dentists.

Ears too, sometimes,
patients with prominent ears.

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

a little hair loss in the front,

so it is possible to perform a
hair transplant

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

working a little on
the colors, the lipstick color.

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

a darker color,
lighter highlights,

streaks.

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

facial disharmonization,

when the patient ends up
asking for more volume

or, sometimes, even the patient
seeks an unqualified professional

for that procedure.

When

filler became

popularized

in other specialties
of the health area,

no longer being 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 turns out that

the patient looks for the cheapest option
and this cheap option can be very expensive.

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

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

they have very short training

to sell that service.
A plastic surgeon

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

three years of plastic surgery,
plus some specializations,

ends up being compared to a dentist who did four,
five years of college.

And then, there's another one who did four or
another one who did less and less

time in college.

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

so they have less familiarity
with anatomy.

And that's where we start

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

like 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
botulinum toxin,

so, it is divided more to be used
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 cosmetic procedures,

of fillers performed
by other professionals,

not exempt from poor results from
medical colleagues, because it is also not

something that only plastic surgeons
do.

Dermatologists do it

and other specialties
have ventured into it.

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 a professional like this and say
“Doctor, what do I need?”

He will

put everything he can sell

for you to do
and for him to earn.

So you need a
professional who tells the truth.

“Look, you need this,
you don’t need that.”

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

if you adapt to the result,
it is

usually 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 is only now.

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

The scam is out there, whoever wants to fall for it, right?!

So, I think we have
to be very attentive.

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

and choose who will perform your
facial harmonization

so as not to demonize,
disharmonize your face.

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