A Whole-Face, Whole-Patient Framework Review for Aesthetic Consultation

Aesthetic facial rejuvenation is increasingly defined by comprehensive, patient-centered assessment rather than isolated correction of individual features, according to a multidisciplinary review published in Dermatologic Surgery. Drawing on insights from dermatology, plastic surgery, and oculoplastics, the authors outline a practical framework for evaluating the whole face in the context of the whole patient, with particular emphasis on diversity-aware consultation and digital innovation.

The review synthesizes concepts from prior articles in the supplement, focusing on how regional facial aging patterns vary across sex, age, and ethnicity, and how these differences should inform treatment planning. The authors stress that effective consultation must integrate anatomical assessment with psychological, cultural, and personal aesthetic goals, rather than relying on standardized ideals of beauty.

To support this approach, the panel highlights the use of structured, validated assessment tools to guide clinician–patient communication. The Galderma Facial Assessment Scale (FASTM) is reviewed as one such framework, designed to standardize evaluation while remaining inclusive of diverse facial morphologies. When paired with its augmented-reality companion application, FACE by Galderma™, the authors note that consultations may be enhanced through improved visualization of potential outcomes and clearer alignment of expectations.

From a treatment standpoint, the framework emphasizes balanced, pan-facial rejuvenation. Rather than isolated interventions, the authors describe integrating injectable modalities—including hyaluronic acid fillers, neuromodulators, and biostimulators—to address structure, movement, and skin quality in a coordinated manner. This multimodal strategy is positioned as particularly important for achieving natural-looking outcomes across varied patient populations.

“Whole-face assessment requires merging science, art, and empathy,” the authors wrote. “Diversity-informed clinical frameworks, supported by digital visualization technologies, enable equitable, patient-specific aesthetic care that aligns clinical precision with authentic, individualized beauty goals.”