Aesthetic Integrity: Structural Thinking in Modern Facial Rejuvenation - A Surgical and Anatomical Decision Framework and the Facial Integrity Scale ( (Paperback) (ISBN-13: 9798199629416)

Why do anatomically similar patients receive radically different results?

Modern facial rejuvenation has an uncomfortable truth: technical innovation has advanced faster than clinical judgment. The same technically correct procedure can leave one face refreshed and another subtly unrecognizable.

The problem is not technique. It is diagnosis.

Aesthetic Integrity(TM) introduces a clinical framework that approaches facial rejuvenation as a structural decision before a technical one. Drawing on more than three decades devoted exclusively to facial plastic surgery, Alexandra Mora Hernández, MD presents a comprehensive decision-making model built on three fundamental principles:

- Structure before volume
- Diagnosis before intervention
- Identity before alteration

At the core of the framework is the Facial Integrity Scale (FIS(TM)), a structured clinical classification designed to link anatomical findings with the most appropriate surgical or non-surgical strategy. Complementing the FIS(TM) is the Restraint Filter, a practical decision-making tool that helps clinicians recognize when the best treatment is not to intervene.

Rather than focusing on isolated procedures, Aesthetic Integrity(TM) integrates facial anatomy, facial aging, structural facial rejuvenation, facelift, neck lift, rhinoplasty, blepharoplasty, minimally invasive facial rejuvenation, injectable treatments, regenerative strategies, and long-term planning into a coherent clinical philosophy centered on diagnosis, proportion, and preservation of facial identity.

This is not a procedural manual.

It is a clinical framework for thinking more clearly, diagnosing more precisely, and treating more responsibly.

With a foreword by Steven R. Cohen, MD, FACS
FACES+ Plastic Surgery, Skin and Laser Center, La Jolla - Clinical Professor, University of California San Diego - Co-founder, London Regenerative Institute.

Written for facial plastic surgeons, facial aesthetic surgeons, dermatologists, oculoplastic surgeons, aesthetic physicians, advanced injectors, otolaryngologists with facial aesthetic practice, plastic surgeons, residents, fellows, and physicians dedicated to surgical and non-surgical facial rejuvenation.

Structural Facial Surgery Series.

Structural correction without identity preservation is incomplete rejuvenation.