{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:02:18Z","timestamp":1789840938235,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n The demand for natural, harmonized facial rejuvenation has shifted aesthetics practice from localized correction toward comprehensive full\u2010face strategies. However, many current injection techniques remain region\u2010based, leading to inconsistent results and limited reproducibility. Reliable and reproducible methodologies are essential for delivering outcomes that align with patient expectations and broader aesthetic\u00a0ideals.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To introduce the Visual Aesthetics (VA) methodology, a structured, patient\u2010centered framework designed to enhance standardization, safety, and clinical outcomes in injectable facial rejuvenation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n VA<\/jats:styled-content>\n methodology is built on four sequential pillars across the patient journey: (1)\n Communication<\/jats:italic>\n \u2014eliciting true patient insight beyond stated complaints; (2)\n Analysis<\/jats:italic>\n \u2014applying Visual Impact Analysis (\n VIA<\/jats:styled-content>\n ) to assess proportion, framework, sagginess, and projection; (3)\n Planning<\/jats:italic>\n \u2014sequencing treatment via vector aesthetics (lifting \u2192 projection \u2192 volume optimization \u2192 detail enhancement); and (4)\n Execution<\/jats:italic>\n \u2014performing anatomy\u2010based targeted injections (\n TIs<\/jats:styled-content>\n ) codified with seven parameters for enhanced reproducibility and safety. Two illustrative cases (31\u2010 and 60\u2010year\u2010old Thai females) demonstrated its clinical application and outcome durability of this methodology.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Sustained aesthetic improvement was observed at 24 and 27\u2009months in the two illustrative cases, including enhanced midface support, chin projection, and correction of tear troughs or jowl sagging. Patients reported high satisfaction. No major complications were encountered when safety protocols were followed, including adherence to vascular alert mapping and preparedness to administer hyaluronidase in the event of vascular compromise.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n VA<\/jats:styled-content>\n methodology provides a reproducible and holistic framework that integrates anatomical precision with individualized goals. Further multicenter studies are warranted to validate long\u2010term outcomes and to explore their applicability across diverse clinical and cultural settings.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocd.70593","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T13:02:05Z","timestamp":1765803725000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Visual Aesthetics (\n VA<\/scp>\n ) Methodology: A Strategic Approach to Facial Rejuvenation"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9751-697X","authenticated-orcid":false,"given":"Vorapot","family":"Siramangkhalanon","sequence":"first","affiliation":[{"name":"Hertitude Clinic Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002119"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473-2165.2010.00544.x"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-020-01762-7"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1305786"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005801"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000279348.09156.c3"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X13484492"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X14525035"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-015-0562-0"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-020-01808-w"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/polym12081644"},{"key":"e_1_2_14_13_1","unstructured":"ReLife (Menarini Group) \u201cDefinisse Core Restore Touch\u2014Product Information \u201d(2020) https:\/\/www.relife\u2010aesthetics.com\/corporate\/en\/products\/definisse\u2010fillers.html."},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182a4c282"},{"issue":"6","key":"e_1_2_14_15_1","first-page":"1927","article-title":"Is Hyaluronidase Able to Reverse Embolism Associated With Hyaluronic Acid Filler? 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