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Facial Aesthetics: Concepts and Clinical Diagnosis (2011)

Anna Gibilaro
DOI: http://dx.doi.org/10.1093/ejo/cjt029 552 First published online: 29 May 2013
Facial Aesthetics: Concepts and Clinical Diagnosis (2011)

Author: Farhad B. Naini

Publisher: Wiley-Blackwell

Price: £82.60

ISBN: 978-1405181921

Pages: 456

Farhad Naini is a hospital-based orthodontist with expertise in the diagnosis and treatment of patients with facial deformity. As an academic scholar with a multitude of publications as well as a previous book, and a senior clinician treating many patients with facial deformity, he is particularly experienced and able to write on the subject; but it is his distinct interest and knowledge as an historian with his artistic passion to write and teach that makes this work so exceptional. His opus ‘Facial Aesthetics: Concepts and Clinical Diagnosis’ is inimitable in its field; an outstanding composition beginning in Part I with the history of art and science in relation to facial beauty and aesthetics followed in Part II by an in-depth, thoroughly comprehensive arrangement of information to inform, guide, and teach us in the analysis and diagnosis of facial deformity.

The concepts of facial aesthetics are covered in Part I with four chapters. These beautifully illustrated pages discuss historical and philosophical perspectives of facial beauty from Ancient Egypt to the 20th century writings of Leslie Farkas—The father of Modern Craniofacial Anthropometry. The impressive list of museums and libraries in the acknowledgements reveal the sources of the plethora of illustrations. ‘Is beauty in the eye of the beholder?’ the historical opinions and evidence are debated; the importance of facial expression in communication in all cultures, the features and identifying factors in body dysmorphic disorder, and the psychological ramifications of facial deformity in social neglect are deliberated.

Part II on clinical diagnosis is divided into four sections starting with stressing the importance of the patient interview, going on to methodical detailed information and discussions of patients’ records and cephalometry. The final sections (two thirds of the book) on the ‘facial aesthetic analysis’ lead us through the clinical inspection, training us to see in order to diagnose and evaluate. These incredibly interesting and painstakingly researched pages discuss descriptions of facial types, sexual and ethic variations, and facial aging. It is in the last 13 chapters on ‘regional analysis’ that each and every part of the face, with its terminology and detailed anatomy, is fully described to enable us to see and appreciate normal and why normal is beautiful, so that deviation from, or abnormal is correctly diagnosed and grasped. The last three chapters, written with Dajit Gill, deal entirely with the teeth and dental tissues, the principles of occlusion, the relationships of these tissues to the smile, and dentofacial aesthetics.

The book is highly illustrated on every page with facial photographs, clear historic reproductions, and sharp colour graphic illustrations and diagrams drawn by Hengameh Naini. The related text is on the same page near to the appropriate illustration.

This is a book that will be of interest to anyone who has an interest in facial aesthetics. From a clinical point of view, this book will interest anyone who looks after patients with dentofacial deformity from maxillofacial and plastic surgeons, orthodontists, to general dentists and any other dental and medical specialists who desire an understanding of the importance of facial aesthetics in the treatment of ‘real people’ rather than ‘patients with a disease entity’.