Middle Face Masculinization

Which tools to use and how to use them to masculinize the middle face

• Lower Eyelid : Some Endopeel injections only in case of absence of fat hernia can stretch the lower eyelid skin for a younger but not more masculine appearance
• Nasal Pyramide : It can be higher by endopeel injections on the lateral walls of the nose and too in the pyramidal muscle
• Nasal Tip : It can be lifted without muscles atrophy and paralysis or dangers of fillers using Endopeel injections .Also a peeling can be added to get a younger look.
• Nasal Aisles : they can be narrowed in case of negroid or asian nose but need to be adapted to the rest of the face respecting good proportions.
• Philtral Triangle : It should be deeper with the 2 lateral sides of the philtral triangle in adduction.This technique is easy with Endopeel Injections with a vector normal to the barycenter of the philtral triangle and another one doing an angle of 30 grades with the vertical at the intersection of the philtral bands.
• Upper Lip : It should be thin vs the lower lip to keep a masculine appearance. In such case we dont recommend to fill it.WE can obtain an upper lip lifting without lip volumization with Endopeel Techniques.
• Lower Lip : It can be volumized with better definition using fillers and/or an eversion can be obtained using Endopeel Techniques in the internal mucosae regarding the lower lip.
• Naso Labial Angle : It can be acute using Endopeel Techniques
• Bone Cheek : Cheekbones are more prominent for females. But their position can differ with the ethnical type . In such case , it s easy with the tensors marking using endopeel techniques, to know to which point you can increase the cheekbone. For males, we will choose bestens the 2 upper tensors of the naso labial furrow area with a direction which makes an angle with the horizontal inferior to 45 grades. personally I use 30 grades.
• Rising branch of the mandible is easy when applying vertical tensors on the masseter area, more than 3 using Endopeel Techniques.
• Mandibular Angle : It should be 90 grades,what is easy to do with the directions of the tensors using Endopeel techniques.
• Naso Labial Furrow: I personally use from down to up tensors of 90, 90, less than 45 ( for ex 30) and 0 grades with the horizontal using endopeel techniques .
• Widening the mouth : this technique is used to get a masculinization of the mouth as lips and it evens out the loss of the upper lip definition.This can be obtained using Endopeel techniques and in no way fillers .

Lower Face Masculinization

Which tools to use and how to use them to masculinize the middle face

• Squared lower face & Jaw : To achieve such shape, the best solution is to use endopeel techniques as we can adapt tensors to each case . The authors recommend when marking the tensors for the lower third of the face, to begin the 1 st ones from the middle line towards the tragus, to do 2-3 tensors parallel to the tragus facelift incision line and to finish with the last 2-3 tensors vertical parallel to a vertical line going through the nasal tip as the middle of the mouth.
• Squared Chin : the authors propose to choose horizontal tensors going from the middle line of the chin towards the exterior, at the level of the mentonnier