As artists choose “focal points” in their portraits, so must the skilled aesthetic surgeon when re-sculpting the face. A true work of art should bring attention to the eyes and then secondarily to the area of restoration or enhancement.

The purpose of this paper is not to discuss how measurements should be taken, but rather, why it is essential from a beauty and artistic perspective to achieve perspective and balance when framing the face.

The frontal hairline should be referred to “a” hairline and not “the” hairline because it is only one portion of facial framing. Whenever any patient has recession in the lateral hairlines, they must be sculpted also to bring attention to the eyes. Merely restoring a frontal hairline will not achieve true frontal and lateral proportion. In time, the focal point will actually move away from the eyes to the area of lateral temporal recession.

The golden rectangle has been used for centuries in creating paintings and other works of art. This author utilizes a vertical rectangle or portrait format to plan the composition of the facial framing. In the picture below, see how the famous Renaissance painter, Raphael Sanzio, illustrates the geometry of the composition so clearly. Notice where the focal point is in relation to the Madonna’s eyes.

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