AESTHETIC INTEGRITY

Why do anatomically similar patients receive radically different results?

Modern facial rejuvenation has an uncomfortable secret: technique has outpaced judgment. The same technically correct procedure can leave one face refreshed and another subtly unrecognizable. The rare problem is not technique. It is diagnosis.

Aesthetic Integrity™ is the first framework that treats facial rejuvenation as a structural decision before a technical one. Drawing on more than three decades devoted exclusively to the face, Alexandra Mora Hernández, MD builds a complete decision architecture around three principles:

• Structure over volume
• Diagnosis over intervention
• Identity preservation

• At its center is the Facial Integrity Scale (FIS™) - an eight-sublevel classification system that links each anatomical finding to the appropriate strategy across surgical and non-surgical modalities - together with the Restraint Filter, a tool for recognizing when not to operate.
• This is not a procedural manual. It is a way of thinking: when to intervene, what to correct, what to preserve, and when the most skilled clinical decision is restraint.

With a foreword by Steven R. Cohen, MD - 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, aesthetic physicians and advanced injectors, otolaryngologists with facial practice, and fellows in advanced aesthetic training.

Structural Facial Surgery Series.