Ĭonsequently, the study of the muscles of the lower third of the face and the related muscles and tissue changes becomes fundamental to physiological functions such as mastication, breathing, posture and facial expressions to para-physiological conditions such as loss of vertical dimension (Fig. Also, the deterioration of these structures worsens the incidence of photoageing, which is mostly determined by the relationship of the individual with the external environment and his or her socio-existential habits (exposure to sun, diet, consumption of stimulants, physical activity, work, other lifestyle factors, etc.), making it difficult to control by professionals in its triggering components.

In fact, the dislocation of panniculus adiposus related to the collapse of the superficial musculo-aponeurotic system (mimetic facial muscles) and reduced muscular tropism of the perioral area results in a substantial acceleration of chrono-ageing, which, being genetically determined and hormone-sensitive, remains difficult to approach directly. These relationships between tissue are mostly represented in the lower third of the face and the perioral area, so the study and treatment of these areas is of fundamental importance in aesthetic and anti-ageing practices concerning the face. AgeingĪgeing is a process that causes an imbalance of homeostasis and greater vulnerability of the organism, as well as a reduced adaptation to environmental stimuli, and it affects cells, tissue and organs.9 Anatomically, ageing is determined by the multiple effects of the passage of time and the effect of gravity on the skin, soft tissue, and superficial and deep components of the face, and their mutual influences and volumetric alterations.10 Facial ageing is also determined by the interactions and relationship with the external environment of bones, muscles, ligaments and skin, especially the combined effects of gravity, bone resorption, decreased elasticity, loss and displacement of components, and superficial and deep subcutaneous fat. Therefore, it is possible to assert that facial structure, primarily that of the lower third of the face, has a great psychological and aesthetic impact and can certainly be more relevant than dental morphology alone. The physical aspect, self-esteem and the ability to engage in interpersonal relationships are deeply interrelated. In this regard, various authors have extensively studied the influence of dentofacial aspects on physical attractiveness and self-esteem, and they have clearly demonstrated how dental morphology and related aesthetics play a fundamental and decisive role in the perception of beauty and, indirectly, in the determination of the social success of an individual. This area naturally integrates with the typical skills and objectives of the established protocols of aesthetic medicine and aesthetic dentistry. Myofunctional intervention is considered a new objective of speech therapy intervention concerning aesthetics, with its own foundations and principles, and is aimed at the attenuation of expression lines that inevitably appear. In this innovative evolution, the Conselho Federal de Fonoaudiologia (Brazilian federal council of speech therapy) has regulated the application of orofacial motility for aesthetic purposes,8 thus identifying a new possibility of use to evaluate, prevent and stabilise mimetic facial and/or cervical muscles, seeking the symmetry and harmony of the structures involved, with aesthetic results. Speech therapy deals with the physiopathology of human communication in its most diverse forms and, for reasons also of a practical nature, it has expanded its scope over time to various areas of intervention, including the study of oral functions. In this article, we will take a deeper look at the contributions of speech therapy to facial aesthetics and to the reorganisation of stomatognathic functions in synergy with aesthetic medicine and aesthetic dentistry and in response to the aesthetic patient, deeply interlinked with personal life experience-the most intimate emotions linked to the self and identity. From this perspective, different practices find common grounds of expression, aimed primarily at the interdependence between structure and function, constituting a dynamic functional unit, which possesses characteristic and integrative links.

Aesthetic medicine is increasingly taking on a global connotation of harmony and balance, defined certainly by historically evolved and shared canons, but progressively corresponding to a biopsychosocially functional profile.

Synergy aesthetic and implant dentistry