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Certain bony features are subjectively perceived as masculine or feminine. In surgical enhancement of the skeleton, it is important to recognize this as a foremost consideration in rejuvenative procedures for either gender. Exaggeration of masculine features is not necessarily attractive in males.
This was true for both male and female observers and across different cultures. The implication of this is that for both male and female patients, augmentation of the facial skeleton should be done conservatively, with just sufficient volume to restore the contours of youth.