Facial Surgery

Cervico-facial lifting helps to improve the localized or more widespread sagging caused by aging.

This surgical procedure aims to treat the sagging and loosening of the skin and muscles of the face (temples and eyebrows, cheeks, jowls, jawline) and neck, as well as the insufficiency or excess of fatty tissue. The goal of this intervention is not to change the shape or appearance of the face. On the contrary, simply restoring the various anatomical structures of the face and neck (skin, muscle, fat) allows the patient to regain the appearance they had a few years earlier.

The temporal lifting helps improve the signs of aging in the temple area. This region is located between the frontal and cervico-facial areas, which can also benefit from a lift. The temporal lifting, which can be performed alone, is often associated in practice with eyelid surgery (blepharoplasty).

This procedure helps address the sagging of the lateral part of the eyebrow, smooth the crow’s feet, and gently tighten the skin of the outer eyelids.

Its goal is not to alter the features but to reposition the anatomical structures, particularly the tail of the eyebrow, in the position it was in a few years ago.

“Blepharoplasties” refer to cosmetic eyelid surgeries aimed at correcting certain imperfections. These procedures can involve only the upper or lower eyelids, or all four eyelids simultaneously. A blepharoplasty can be performed alone or combined with another facial cosmetic surgery.

The most common issues addressed are as follows:

• Heavy, drooping upper eyelids with excess skin.
• Drooping and wrinkled lower eyelids with small horizontal lines.
• Fat herniations causing “bags under the eyes.”

The procedure aims to correct these imperfections permanently by surgically removing excess skin and muscle as well as fat protrusions, while naturally preserving the essential functions of the eyelids.

Other alterations may be present, such as forehead sagging, drooping eyebrows, “frown lines” between the eyebrows, “crow’s feet” at the corners of the eyes, hollow eyes, “sad” eyes with drooping outer corners, and minor surface skin imperfections (superficial wrinkles, scars, spots, etc.). Their treatment may involve complementary methods such as injections, lipostructure or fat grafting, forehead or temporal lifting, canthoplasty, and more.

The term “rhinoplasty” refers to the modification of the nose’s morphology for both aesthetic and functional improvement.

The procedure aims to specifically correct existing imperfections, whether congenital, resulting from trauma, or other causes.

The principle is to reshape the bone and cartilage, which form the nose’s solid structure and give it its unique shape, through incisions hidden inside the nostrils. The skin covering the nose must then adapt and stretch over this modified osteocartilaginous framework. Therefore, a rhinoplasty usually leaves little to no visible scarring on the skin.

Genioplasty or mentoplasty is a procedure aimed at modifying the shape of the chin and potentially providing functional improvement (breathing, lip support). It can be performed through osteotomy (bone section), grafting, or the placement of an implant.

This chin procedure is sometimes combined with jaw surgery (maxillary and/or mandibular osteotomy) or rhinoplasty as part of a profile surgery. The goal is to achieve a natural-looking chin that harmonizes with the other facial features, suits the psychology and personality of the patient, and meets their requests.

Correcting protruding ears requires a surgical intervention called “otoplasty,” aimed at reshaping the ear structures that are considered excessively visible.

The procedure is usually performed on both ears but can sometimes be unilateral.

Otoplasty aims to correct cartilage abnormalities at the ear pavilion, which cause the “protruding” appearance.

There are three types of malformations, which are often more or less associated with each other:

• Excessive angulation between the ear pavilion and the skull, creating the actual “protrusion.”
• Excessive size of the conchal cartilage, pushing the ear forward and accentuating the protruding appearance.
• A lack of folding of the usual cartilage contours, making the ear pavilion appear too smooth, as if “unfolded.”

Otoplasty can be performed on adults or adolescents, but most often, the correction is considered in childhood, starting from the age of 7, as soon as the child expresses the desire for it.

For satisfactory rhinoplasty results, it is sometimes necessary to combine this procedure with another aesthetic surgery operation: genioplasty. This is a chin surgery. In some cases, it will also be necessary to intervene on the cheekbones and forehead. Generally, these complementary procedures are decided during the consultation preceding a rhinoplasty. During the computer simulation of the expected results of the nose surgery, it will appear that the desired outcomes cannot be achieved without interventions on other areas of the face.

This chin surgery is sometimes combined with jaw surgery (maxillary and/or mandibular osteotomy) or rhinoplasty as part of a profiloplasty. The goal is to achieve a natural-looking chin that harmonizes with the other facial features, fitting the psychology and personality of the patient, and meeting their desires.

Profiloplasty: What is it?

As the name suggests, profiloplasty is an aesthetic surgery procedure aimed at correcting the patient’s profile. The face is marked by a certain interdependence between the various areas that make it up. This type of surgery aims to restore harmony within the face and correct the aesthetic flaws the patient complains about, even if they may not be fully aware of them. Typically, the patient is focused on one flaw, often their nose, without realizing that the perception of it also depends on the chin, forehead, or cheekbones.

Profiloplasty most commonly combines rhinoplasty and genioplasty. Chin surgery involves either a prognathism when the chin is overly projected forward, or retrognathism when it is recessed. In the first case, the plastic surgeon will perform bone cutting. In the second case, the practitioner will place an implant or perform a graft.