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The problem is seeing this ratio is something that comes naturally to a person with a good 'aesthetic eye' and it is something that you cannot reprogramme a practitioner's brain to have if it is absent. It is similar to the fact that you cannot send someone to Art school to teach them to become a good artist; you either have it or you don't. Now you can learn music as it is developed on a different ratio of harmonics, fifth and minors.
These can be written down and reproduced. You could do it mathematically with facial aesthetics but most of these doctors would be better off employing a staff member with a 'good' eye and asking them what they think of the lips or the breast size. I do it all the time, even though I could have gone to art and medical school.
The reason that most of these patients look unnatural and overdone is purely down to the fact that most of their lips are made artificially to remain outside the natural anatomical ratio and our brain reads that as associated with a disease or in our minds 'freakishness'. The outer portions of nearly all of these clients are in my opinion, overfilled.
The outside portion of a lip should not be filled to prevent 'trout pouting'; in every one of these instances, there is evidence that this has happened. The beautiful 'cupid's bow' appearance of most of their central lips has been edited out during the augmentation.