Profiloplasty

What is a profiloplasty?


A profiloplasty allows harmonization of facial landmarks.

  • It can involve medical or surgical procedures on the nose, chin, forehead, and cheekbones.

The nose is typically the center of this remodeling.

It can be:

  • for the chin: bone advancement, chin implant, lipofilling, filler, bone reduction.
  • for the forehead: an augmentation by lipofilling or fillers, a bone remodeling for irregularities or bumps on forehead, a widening of the angle between the nose and forehead.
  • for cheekbones: an augmentation by lipofilling or fillers

Why have a profiloplasty?


The patients who undergo a profiloplasty often come for their nose, which usually seems too big.

  • But since the first thing we see is the nose is in the middle of the face, some too small landmarks around the nose can make it seem too big: a chin that is pulled back, a sloping forehead, cheekbones that too flat, all these make the nose appear to be too big.
  • While it is often necessary to perform a rhinoplasty to soften the perception of the nose, chin, forehead or cheek bone augmentation can balance and magnify the face.

profiloplastie_408

The  consultation


It takes place in an identical manner to that of a rhinoplasty, which itself includes the consideration of facial features.

  • Computer simulations are particularly useful to visualize what rebalancing facial proportions will bring.
  • First, we can sometimes correct the chin, even if it is never an obligation. It is best, to positively rebalance a face, to advance a receding chin, augment a chin that is too low, or conversely lower a chin that is too projected or too high located.
  • In all cases, a rhinoplasty is done if the chin is in good position.
  • It may also be necessary to correct a receding forehead, or a forehead that is too flat, or even sometimes flat cheekbones to give even more depth to the nose.
  • Be aware that in some cases, a good rebalancing of the chin requires prior orthodontic treatment (which lasts between one and two years ...), which explains why some patients prefer less spectacular results (where we do not touch the chin, or a moderate gesture is performed), but also less restrictive!

What happens during a profiloplasty?


Many measures are taken to verify the harmony of the modified facial reliefs.

Each method of increasing or reducing is adapted in a very controlled and gradual way, whether it is the degree of bone advancement of prosthetic remodeling, or the amount of fat or injectable product used.

skeleton_facial_implant

What follows a profiloplasty?


  • Profiloplasty, as well as rhinoplasty, is an intervention that is not painful.
  • An edema persists in the weeks following the operation, as well as moderate and transient changes in sensitivity to the treated area.
  • Returning to work and resuming social activities can be done in the days following the operation, and the end result is acquired in the weeks following the operation.

The risks of profiloplasty


They are related to the surgical technique used (prostheses, lipofilling, injectables,...).

However, certain corrections require small postoperative retouching.

The scars of profiloplasty


Depending on the procedure, there may be a small scar under the chin, or sometimes inside of the mouth.

When it involves an injection, there are no scars.

After a profiloplasty


  • The only notable fact is swelling that more or less noticeable, and bruises, especially in the case of injections.
  • There is frequently a small transient decrease in sensitivity in the treated areas.
  • The end result is appreciated at best around 3 months after surgery.

Information Sheet SoFCPRE (Société Française de Chirurgie Plastique Reconstructrice et Esthétique)

Last update of this page : 06-06-2019