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Facial Plastic Surgery for Facial Harmonization

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Aesthetic Rhinoplasty

A beautiful nose participates to facial harmony and blends into the background. Whether before a full or partial rhinoplasty, all surgery of the nose should be preceded by functional examination.

Rhinoplasty is a surgical procedure used to correct or reconstruct the nose. This procedure may be needed to allow for more facial harmony. Some procedures are commonly  combined with rhinoplasty to help improve that facial balance, such as: 

-chin surgery (chin augmentation or reduction)

-forehead surgery

-lip augmentation or reduction

We use VECTRA® 3D camera and Sculptor software to produces a three-dimensional photograph of the nose and face and able to simulate the expected average results of the proposed surgery.


This base of the face is an important part of its balance. Injections with hyaluronic acid can easily correct it. This approach can also be a preliminary step before a definitive surgical advancement, ie genioplasty or mentoplasty. The oval, when a bit unstructured, can also be corrected by such injections. Finally, the neck at a moderate stage of relaxation, can be improved by combining various non-invasive techniques, such as radiofrequency, hyaluronic acid and notched threads.

Chin augmentation (to correct a receding chin)

Chin surgery is minimally invasive and can change the shape of the chin to reduce a prominent chin or extend the chin from the face. The contour of the chin can be reshaped to be smoother, or more angular in appearance thereby creating or enhancing a better profile. Often a small, weak chin can make a nose appear larger so patients are sometimes advised to have chin surgery in conjunction with rhinoplasty to create a better balance of features. Patients can also have neck liposuction to remove excess fat from under the chin to redefine the chin line. Chin augmentation can make a major difference to the overall appearance of the face.
To correct a receding chin either an implant can be inserted or the chin bone can be moved forward to a more normal position. For a prominent chin the bone can be reduced and re-sculptured to a more acceptable size.  Chin Surgery can be performed to:

  -Add definition to the jawline
  -Correct a receding chin line
  -Create a stronger looking chin
  -Balance out facial features
  -Enhance a profile

Chin surgery is normally performed under general anaesthesia or local anaesthesia with IV sedation and takes 45-60 minutes depending on the extent of the surgery to be performed. We use VECTRA® 3D camera and Sculptor software to produces a three-dimensional photograph of the chin and face and able to simulate the expected average results of the proposed surgery.


We make an incision in the natural crease line under the chin or inside the mouth where the lower lip meets the gum. An implant (the size of which has been predetermined at previous consultations) is then inserted into the created space and fitted into place. The incision is closed with fine stitches. The sutures on the inside of the mouth show no visible scarring. Sutures along the chin crease will hardly be noticeable. The implant is usually Silastic with Gortex ePTEF covering (Composite).


Chin Reconstruction Surgery (To Correct a Prominent Chin)

In surgery for chin reduction we make a small incisions either inside the mouth or under the chin and sculpt and reposition the facial bones to create a more harmonious look.


The eyes and mouth are the cornerstone of face and expressiveness.

Lip projection greatly influences the perception of facial balance and is intimately related to the projection of the nose and the chin. 

Lip augmentation

We do lip augmentations nearly exclusively with non permanent fillers (hyaluronic acid) and this gives the most natural result. The end result achievable depend on the age of the patient. A natural result is the key.

Lips are very sensitive, so usually  we do lip injections after the application of local numbing cream and icing. Sometimes we also inject local anesthesia.

Lip reduction cheiloplasty

Reduction cheiloplasty is usually done under local anesthesia +/- sedation.

The procedure is usually done with a CO2 laser or with radiofrequency.

Lip lift

The aging lip becomes longer, thinner and loses volume.

The most frequent lip lift procedure is by direct excision of skin under the nasal base. This procedure is done under local anesthesia +/- sedation.

This procedure may help evert the red lip a little.

Smoker’s lines around the mouth

Vertical lines around the mouth are usually treated in a multimodal approach, combining

  • fractional laser CO2 resurfacing

  • ablative Erbium Yag resurfacing

  • fillers

  • botulinum toxin

  • mesotherapy


The use of full ablative CO2 resurfacing, dermabrasion or a deep peel are very effective in eliminating the wrinkles and lines, however these procedures are associated with longer down-time and a high complication rate (especially depigmentation of the skin)

Mouth corners

With age the corners of the mouth may droop and give an unintended sad look.

To correct this one can use a combination of botulinu toxin and fillers.

The botulinum toxin acts as a muscle relaxer and weakens the muscles pulling the down the corners. Fillers will then also help elevate the corners.

Forehead Remodeling

Inclination of the forehead on profile impacts the perception of nasal length.


Fat grafting, use of soft-tissue fillers or bone remodeling of the forehead can change help balance the facial profile. 

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