On Gerasimov’s Plastic Facial Reconstruction Technique: New Insights to Facilitate Repeatability*

Gerasimov's plastic facial reconstruction method is notoriously difficult to repeat from the published literature. Primarily, this is because of the method's underlying qualitative basis but other factors contribute including: misreports in the secondary literature of Gerasimov's method essence; a lack of published details concerning Gerasimov's modeling mastic; Gerasimov's deviation from his own published nose projection prediction guidelines; and continued refinement of the methods in the 15 years following their foremost publication. As Gerasimov cannot be consulted to resolve these issues, we provide solutions via one of his five former principal students. This includes clarification of Gerasimov's method and use of soft tissue depths; the constitution of his modeling mastic; methods used for nose projection prediction; and refinements made to his methods following their primary publication.