Facial assessment form template for facial harmonization
Facial assessment is the starting point of any orofacial harmonization (HOF) plan. When the reasoning stays only in the professional's head, it is hard to explain to the patient why certain areas were chosen and hard to compare progress at follow-up. A standardized form solves both problems.
This template organizes the analysis by thirds and by areas. For the conceptual background, see facial assessment by thirds and standardized clinical photography.
What should the form record?
| Section | What to note |
|---|---|
| Concern and expectation | Patient's own words, priority |
| Upper third | Forehead, eyebrows, glabella, lines |
| Middle third | Tear trough, cheekbone, fold, nose |
| Lower third | Lips, chin, jaw, neck |
| Symmetry | Visible differences between the sides |
| Skin | Quality, texture, spots, laxity |
| Dynamics | How the face moves when smiling and talking |
| Functional profile | Bite, teeth, breathing (if relevant) |
Form template
How do you use it without making it rigid?
The form is a guide, not a straitjacket. Swap fields, add lines, keep the essentials: what the patient brought, what you observed and what was proposed. The habit of writing short, objective sentences ("mild mouth corner asymmetry, right side lower") helps when you return to the case months later.
Separate observation from interpretation. "Deep nasolabial fold on the left" is an observation. "Loss of volume in the middle third" is an interpretation. Both go in, in different columns or sentences.
Asymmetry and expectations
Almost every face has differences between the sides. The form helps you record this asymmetry before any procedure, which protects the patient from thinking it appeared afterward and protects you from being blamed for something that was already there. Combine it with the photos and, where it makes sense, with a conversation explaining that perfect symmetry does not exist.
Where does Harmy come in?
Use the form to decide and the projection to talk. The illustrative simulation supports the explanation, but the plan comes from the clinical assessment recorded in the patient record.
Follow-up
At follow-up, open the form and the initial photos side by side. Compare what was noted and update only what changed, with the date. That history turns the form into a timeline of the case, which helps you and the patient see progress calmly.
Frequently asked questions
What should you assess in a facial assessment for orofacial harmonization?
The proportions between the thirds, symmetry, contour, volume and skin quality by area, expression dynamics and the patient's concern. Standardized records let you compare at follow-up.
Does the facial assessment form replace photos?
No. It records the professional's analysis in writing; standardized photos document the visual appearance. The two complement each other.
Does every asymmetry need treatment?
No. Mild asymmetries are common and part of every face. The form helps record what exists beforehand, and the conversation with the patient defines what is a concern and what is natural variation.
How does Harmy fit into the assessment?
Harmy's marking starts from a frontal photo and shows an illustrative projection by area. It supports the conversation but does not replace the clinical assessment or this form.