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.
