NEW YORK, Jan. 24, 2013 /PRNewswire/ -- A revealing new study published today in JAMA Facial Plastic Surgery and authored by top New York City Facial Plastic and Reconstructive Surgeon Dr. Andrew Jacono, identifies a basic principle that can predict how certain surgical procedures may affect aging cheeks, and offers a simple algorithm for choosing the ideal surgical approach. The study, entitled "Anatomic Predictors of Unsatisfactory Outcomes in Surgical Rejuvenation of the Midface," finds that many patients lack the ideal bone structure in order to make common cheek rejuvenation procedures successful, and therefore are dissatisfied with results. Now, a simple technique using intersecting lines can easily determine if a patient's facial structure will easily allow for optimal results from certain cheek procedures. "Tuck a pencil over the top of your ear, keeping it perfectly horizontal. Then, place your index finger vertically against your forehead to form an intersection," explains Dr. Jacono. "Where these two intersect is where your cheekbone should fall, if you're a prime candidate for basic cheek rejuvenation procedures." "The issue is that most of the population does not fall into this realm," says Dr. Jacono. For prospective patients whose bone structure varies from the ideal, the study introduces an algorithm for determining the most successful cheek rejuvenation procedures, based on a myriad of patient-specific anatomic and genetic considerations. This useful tool will aid both surgeons and potential patients in better understanding how to choose anti-aging procedures that will achieve optimal, lasting results. "Aging of the cheeks is complex and multifactorial, and so cosmetic consultation for rejuvenation is thus the most difficult," said Dr. Jacono, who often publishes on the subject. "This algorithm, organized into a simple flowchart that aesthetic surgeons may consult, will assist in selecting a plan with patients that has the highest likelihood of success because it affords a customized and integrated approach specific to each patient's facial structure. Often, a combination of procedures is required to help build cheek volume. For example, an endoscopic mid-face or mini-S type facelift can be combined with fat transfers or cheek augmentation for optimal results."