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idkmanimao

idkmanimao

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1. Nose Height (Dorsal and Tip Projection)​


Natural


  • None with clinically meaningful effect.
    Despite folklore about nasal “exercises” or massage, no controlled studies demonstrate permanent heightening or projection changes without implants or grafts.

Unnatural


  • Augmentation Rhinoplasty (Surgical)
    • Implant materials: expanded‑PTFE (ePTFE), autologous costal cartilage (ACC), silicone, porous polyethylene.
    • Efficacy: In a series of 244 patients, dorsal height increased by 2.64 % with ePTFE and 5.82 % with ACC implants (both p < .001), with high aesthetic‑satisfaction scores Liebert Publications.
  • Dorsal Preservation Rhinoplasty
    • Preserves the native dorsum while subtly lowering humps and augmenting radix, with an average 4.4 mm hump reduction and 95.6 % aesthetic improvement rate Lippincott Journals.
  • Injectable Filler (“Liquid Rhinoplasty”)
    • Hyaluronic acid (HA): small volume injections can raise the radix and smooth profile.
    • Study: HA augmentation raised dorsal height by ~2 mm on average and was well tolerated in 30 patients over 6 months (no serious adverse events) ScienceDirect.



2. Lips: Thinner (Volume Reduction) & Wider (Horizontal Spread)​


Natural


  • None proven for structural thinning or widening.
    Topical plumping (“lip scrubs,” cinnamon oil) only cause transient vasodilation—no lasting change in vermilion height or width.

Unnatural


  • Volume Reduction
    • Lip Reduction Surgery: excisional vermilionectomy—removes excess red lip tissue for thinner lips. High patient satisfaction in small series; permanent effect.
  • Horizontal Widening
    • V‑Y Lip Advancement Flap (for width): local flap techniques can increase horizontal span by ~3–5 mm per side; case reports show reliable outcomes.
  • Injectable Fillers
    • Thinner effect (contour refinement): low‑volume HA injections into lip borders can sharpen vermilion line.
    • Evidence: In a randomized, evaluator‑blinded trial (n=16), Restylane Kysse and Juvéderm Volbella provided durable contouring with >89 % of subjects having ≥1‑grade improvement in fullness or definition at 12 weeks PMC.
  • Lip Augmentation (for fullness and slight widening)
    • HA gels are well tolerated and durable when used for upper‑lip augmentation PMC.



3. Chin: Broader, More Projected​


Natural


  • None reliably change bony projection.
    Chewing‑based programs (e.g., gum) increase bite force but do not alter mandibular shape or masseter hypertrophy in healthy adults PubMed.

Unnatural


  • Sliding Genioplasty (Osteotomy)
    • Horizontal osteotomy advances the chin bone forward by 2–6 mm; stable long‑term projection in large series.
  • Alloplastic Chin Implants
    • Porous polyethylene (Medpor), silicone:
      • In a 46‑patient series using porous polyethylene with screw fixation, anatomically correct, stable contours were achieved in both primary and secondary cases PubMed.
  • Injectable Fillers for Chin
    • HA fillers (e.g., Restylane Defyne, Juvéderm Voluma XC): offer a 1–2 mm forward projection with immediate results lasting 9–18 months Allure.



4. Eyes: Crease, “Openness,” Puffiness​


Natural


  • Lifestyle & Topicals
    • Sleep, hydration, salt reduction: reduce transient puffiness but do not alter lid fold or bone.
    • Caffeine‑containing eye creams: modestly decrease periorbital edema (small controlled trials), but effects wash out within hours.

Unnatural


  • Upper Blepharoplasty (Double‑Eyelid Surgery)
    • Incisional or suture methods create a permanent crease.
    • Safety & Efficacy: In 86 Asian patients, a novel pretarsal‑OOM release technique yielded a high satisfaction rate with minimal complications PubMed.
  • Lower Blepharoplasty
    • Removes or re‑drapes fat pads, tightens skin; long‑term reduction in under‑eye bags.
  • Canthoplasty/Canthopexy
    • Lateral corner tightening to “open” the eye aperture; reliable in orbital‑fat repositioning cases.
  • Injectable Approaches
    • Tear‑trough Fillers (HA, calcium hydroxyapatite): correct hollowing under the eye with >80 % patient satisfaction at 6 months in small cohorts.
  • Pharmacologic
    • Oxymetazoline ophthalmic drops (Upneeq): FDA‑approved for acquired ptosis to lift the upper lid by ~1 mm on average in clinical trials.
 
1745001091300


This is OP btw
 

1. Nose Height (Dorsal and Tip Projection)​


Natural


  • None with clinically meaningful effect.
    Despite folklore about nasal “exercises” or massage, no controlled studies demonstrate permanent heightening or projection changes without implants or grafts.

Unnatural


  • Augmentation Rhinoplasty (Surgical)
    • Implant materials: expanded‑PTFE (ePTFE), autologous costal cartilage (ACC), silicone, porous polyethylene.
    • Efficacy: In a series of 244 patients, dorsal height increased by 2.64 % with ePTFE and 5.82 % with ACC implants (both p < .001), with high aesthetic‑satisfaction scores Liebert Publications.
  • Dorsal Preservation Rhinoplasty
    • Preserves the native dorsum while subtly lowering humps and augmenting radix, with an average 4.4 mm hump reduction and 95.6 % aesthetic improvement rate Lippincott Journals.
  • Injectable Filler (“Liquid Rhinoplasty”)
    • Hyaluronic acid (HA): small volume injections can raise the radix and smooth profile.
    • Study: HA augmentation raised dorsal height by ~2 mm on average and was well tolerated in 30 patients over 6 months (no serious adverse events) ScienceDirect.



2. Lips: Thinner (Volume Reduction) & Wider (Horizontal Spread)​


Natural


  • None proven for structural thinning or widening.
    Topical plumping (“lip scrubs,” cinnamon oil) only cause transient vasodilation—no lasting change in vermilion height or width.

Unnatural


  • Volume Reduction
    • Lip Reduction Surgery: excisional vermilionectomy—removes excess red lip tissue for thinner lips. High patient satisfaction in small series; permanent effect.
  • Horizontal Widening
    • V‑Y Lip Advancement Flap (for width): local flap techniques can increase horizontal span by ~3–5 mm per side; case reports show reliable outcomes.
  • Injectable Fillers
    • Thinner effect (contour refinement): low‑volume HA injections into lip borders can sharpen vermilion line.
    • Evidence: In a randomized, evaluator‑blinded trial (n=16), Restylane Kysse and Juvéderm Volbella provided durable contouring with >89 % of subjects having ≥1‑grade improvement in fullness or definition at 12 weeks PMC.
  • Lip Augmentation (for fullness and slight widening)
    • HA gels are well tolerated and durable when used for upper‑lip augmentation PMC.



3. Chin: Broader, More Projected​


Natural


  • None reliably change bony projection.
    Chewing‑based programs (e.g., gum) increase bite force but do not alter mandibular shape or masseter hypertrophy in healthy adults PubMed.

Unnatural


  • Sliding Genioplasty (Osteotomy)
    • Horizontal osteotomy advances the chin bone forward by 2–6 mm; stable long‑term projection in large series.
  • Alloplastic Chin Implants
    • Porous polyethylene (Medpor), silicone:
      • In a 46‑patient series using porous polyethylene with screw fixation, anatomically correct, stable contours were achieved in both primary and secondary cases PubMed.
  • Injectable Fillers for Chin
    • HA fillers (e.g., Restylane Defyne, Juvéderm Voluma XC): offer a 1–2 mm forward projection with immediate results lasting 9–18 months Allure.



4. Eyes: Crease, “Openness,” Puffiness​


Natural


  • Lifestyle & Topicals
    • Sleep, hydration, salt reduction: reduce transient puffiness but do not alter lid fold or bone.
    • Caffeine‑containing eye creams: modestly decrease periorbital edema (small controlled trials), but effects wash out within hours.

Unnatural


  • Upper Blepharoplasty (Double‑Eyelid Surgery)
    • Incisional or suture methods create a permanent crease.
    • Safety & Efficacy: In 86 Asian patients, a novel pretarsal‑OOM release technique yielded a high satisfaction rate with minimal complications PubMed.
  • Lower Blepharoplasty
    • Removes or re‑drapes fat pads, tightens skin; long‑term reduction in under‑eye bags.
  • Canthoplasty/Canthopexy
    • Lateral corner tightening to “open” the eye aperture; reliable in orbital‑fat repositioning cases.
  • Injectable Approaches
    • Tear‑trough Fillers (HA, calcium hydroxyapatite): correct hollowing under the eye with >80 % patient satisfaction at 6 months in small cohorts.
  • Pharmacologic
    • Oxymetazoline ophthalmic drops (Upneeq): FDA‑approved for acquired ptosis to lift the upper lid by ~1 mm on average in clinical trials.
mf asked for no hardmaxxing least obv chatgpt thread
 
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