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Facial Contour & Structural Balance

Doctor-led assessment of facial proportions, symmetry and anatomical support
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The Science Behind Structural Balance

Facial structure changes gradually over time. Bone remodelling, fat redistribution, muscle activity and skin changes can alter the way light reflects across the face, sometimes leading to flattening, hollowing or changes in contour.
At PCM, we provide doctor-led consultations to assess facial proportions, symmetry and anatomical support. Where clinically appropriate, we may discuss non-surgical treatment options aimed at restoring structural balance or softening the appearance of volume loss.
Our focus is harmony, proportion and natural-looking refinement, not exaggeration.
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  • Structural Ageing

Understanding Structural Ageing

Facial ageing is three-dimensional. It may involve volume loss, hollowing, and changes in definition. Not all structural changes require treatment; many represent normal anatomical variation.

  • Volume loss in the mid-face
  • Changes under the eyes
  • Lip thinning
  • Chin retrusion or imbalance

  • Hollowing of the temples
  • Flattening of the cheeks
  • Loss of jawline definition
  • Lower-face shadowing
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  • Assessment Areas

Areas Commonly Discussed

Depending on your concerns and anatomy, consultation may include assessment of various facial regions. Treatment planning considers the entire face rather than isolated areas, as structural balance is interdependent.

Temples

Hollowing or contour changes

Under-eye

Shadowing or volume differences

Cheeks

Projection and mid-face support

Lips

Volume, border and balance

Chin

Projection and symmetry

Jawline

Contour and definition

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  • Consultation Process

Consultation & Individualised Assessment

A consultation with a PCM doctor is required before any treatment is considered. There are no exceptions to this process.

01

Assess bone structure, fat distribution and facial proportions

02

Evaluate skin quality and movement patterns

03

Discuss your goals and expectations

04

Explore alternative approaches, including no treatment

05

Review medical history and risk factors

06

Explain potential risks,limitations and variability in outcomes

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If treatment is not appropriate, we will advise against proceeding.
  • Treatment Planning

Treatment Considerations

For some patients, carefully administered non-surgical procedures may temporarily support areas of structural change.
Treatment decisions are individualised and may depend on:
  • Facial structure and balance
  • Movement and muscle dynamics
  • Skin quality and tissue support
  • Your personal goals and comfort level
  • Facial anatomy
  • Skin thickness and elasticity
  • Vascular patterns
  • Age-related changes
  • Previous treatments
  • Overall health
Subtle adjustments are generally prioritised over dramatic change. Results vary between individuals and cannot be guaranteed.
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  • Important Information

Risks and Complications

All procedures carry risk. Possible side effects may include:
  • Swelling & Bruising
  • Tenderness
  • Lumps or irregularity
  • Asymmetry
More serious but uncommon complications can occur, including:
  • Vascular compromise
  • Skin injury
  • Visual disturbance
  • Persistent swelling
Some complications require immediate intervention and may involve additional medication or referral. Full risk information will be discussed during consultation.
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  • Treatment Suitability

Suitability & Psychological Assessment

Medical practitioners are required to assess suitability, including evaluating expectations and screening for underlying psychological conditions that may affect decision-making. If concerns arise, referral to another healthcare professional may be recommended. We may decline treatment if it is not in your best interests.

Patients Under 18

PCM does not provide services to patients under the age of 18.
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  • Our Approach

Approach to Natural Outcomes

Our approach prioritises:
  • Structural integrity
  • Facial harmony
  • Conservative volume principles
  • Long-term planning
  • Respect for individual identity
We aim to support subtle structural balance rather than visible augmentation.
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Cosmetic Medicine Education & Training Resources

A series of training workshops and educational resources brought to you by our renowned founder Dr. Stephen Crimston.

COMING SOON!

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  • Post-Treatment Care

Aftercare & Follow-up

01

Written aftercare instructions

02

Information about expected post-procedure changes

03

Clear guidance on when to contact the clinic or seek urgent review

04

Access to appropriate follow-up care

If unexpected symptoms arise, prompt medical review may be required.

How to Book

All care at PCM begins with a medical consultation. To arrange a consultation, please either book in online or contact the clinic directly.

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Please note that booking a consultation does not commit you to any treatment. Your doctor will discuss all options, including no treatment, during your appointment.

  • FAQs

Frequently Asked Questions

The following information is provided for general educational purposes only. It does not constitute medical advice. Please consult a qualified medical practitioner to discuss your individual circumstances.
What is facial contouring in a medical context?
Facial contouring at PCM refers to doctor-led assessment and discussion of non-surgical approaches that may support facial proportions and structural balance. Any treatment considered is based on individual clinical assessment not a standardised protocol.
Do I need a consultation before any treatment is considered?
Yes. A face-to-face consultation with a registered medical practitioner is required before any treatment can be discussed or planned. There are no exceptions to this requirement.
What areas of the face can be assessed?
Consultations may address the temples, under-eye region, cheeks, lips, chin, jawline and lower face. Treatment priorities are determined individually, with consideration given to the face as a whole rather than isolated areas.
What if I decide not to proceed?
You are under no obligation to proceed at any point. Choosing not to proceed is always a valid and supported option.
What are the risks of facial contouring procedures?
All medical procedures carry risk. Common effects may include swelling, bruising, tenderness or asymmetry. Serious but uncommon risks include vascular compromise, skin injury or visual disturbance. Some complications require urgent medical intervention. Full risk information is discussed during consultation.
Can you guarantee results?
No. Individual outcomes vary depending on anatomy, skin quality and other clinical factors. No specific result can be guaranteed.
Is this service available to patients under 18?
No. PCM does not provide services to patients under the age of 18.
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  • Connect With Us

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Our Locations

Ella Bache, Gladesville

225-227 Victoria Rd, Shop 15, Glades Centre, Gladesville NSW 2111

(02) 9879 3211

Ella Bache, Springwood

130 Macquarie Rd, Springwood NSW 2777

(02) 4751 1252

Ella Bache, Glenbrook​

22B Park Street, Glenbrook NSW 2733​

(02) 4706 0337​

Ella Bache, Lindfield

6 Moore Ave, Lindfield NSW 2070

(02) 9416 3145

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