# An Expert Opinion on Hyaluronic Acid Fillers for Indian Facial Aesthetics: Insights From a Pre-meeting Questionnaire and Ad-Board Discussion

## TL;DR

This paper discusses how Indian patients and physicians prioritize different facial aesthetic concerns and highlights the need for culturally specific guidelines for hyaluronic acid fillers.

## Contribution

The paper introduces the need for Indian-specific aesthetic guidelines based on a survey and discussion among experts.

## Key findings

- Physicians and patients prioritize infraorbital hollows in younger individuals and volume loss in older age groups.
- Patients often focus on visible aging signs like nasolabial folds and neck laxity, while physicians emphasize structural changes.
- The AART™ and HITs™ frameworks help create individualized treatment plans considering anatomical and cultural factors.

## Abstract

This expert opinion explored aesthetic concerns among Indian participants, consolidating insights on physicians’ clinical needs assessments with patients’ self-identified concerns. Data was gathered through a pre-meeting survey distributed to 12 respondents. The findings revealed that physicians and patients consistently prioritize areas such as the infraorbital hollow in younger participants, while concerns shift toward volume loss and skin laxity in older age groups. Physicians often emphasize structural changes, such as malar bone resorption and jawline contouring. In contrast, patients frequently express concerns about visible signs of aging, including nasolabial folds, marionette lines, and neck skin laxity. The Assessment, Anatomy, Range, and Treatment (AART™) and Holistic Individualized Treatments (HITs™) enable practitioners to conduct thorough facial assessments and create tailored treatment plans. Considering both anatomical changes and patient expectations, an individualized approach to facial aesthetic treatments is necessary. There is a need for Indian-specific aesthetic guidelines owing to limited published literature that respects cultural facial characteristics and evolving beauty standards across age groups.