A novel option for enhancing the appearance of the face is profiloplasty – a non-surgical and non-invasive intervention.
A novel option for enhancing the appearance of the face is profiloplasty – a non-surgical and non-invasive intervention. The procedure is intended to improve the profile of the patient by balancing out the proportions of the face. It utilizes dermal fillers for chin augmentation, rhinoplasty and, in some cases, lip augmentation. Many people do not realize how facial features influence one another and the appearance of the face, focusing primarily on their one dominant aesthetic feature instead.
Prior to beginning the procedure, clinicians must counsel their patients regarding the aesthetic proportions of their face and how best to create a balanced profile for them. Plastic surgeon Dr. Mario Gonzalez-Ulloa’s proposed theory about the ideal nose-to-chin ratio suggests that two lines can be drawn to define the face: the first line passes through the inferior margin of the orbit and upper margin of the outer ear (auditory meatus), is tangential to the nasion and has a “zero meridian” at the midline, and where the nasal root has its deepest point. The second line is perpendicular to the first, and in an ideally proportioned face, the chin’s most prominent point would be on this line, or just behind it.
Profiloplasty is a feasible option for people interested in cosmetic enhancement because it can accomplish many of the same goals as conventional surgery while avoiding trauma, scarring, and high costs. The best choice of dermal fillers is thought to be those with greater volumizing capacity, or a higher G prime (the technical hardness of the gel). These fillers are often more cross-linked, so the results last longer. Local anesthetics can be used to improve comfort during the procedure.
The main component of profiloplasty is injecting the nose with dermal fillers. This injection is intended to hide the dorsal hump, straighten the nose bridge, and slightly elevate the tip. Together, these small modifications create the illusion of a shortened nose. The chin size, posture, anterior projection, length, and symmetry are all key components in creating a balanced, aesthetic result, so some modification of the chin may be recommended. For example, if the patient has a receding chin, it may make the nose look larger than it is. By correcting the balance between the nose and chin, the adjusted profile will appear more aesthetically sound.
Side Effects and Complications
The potential side effects and complications of profiloplasty are the same as those that can occur with regular dermal filler treatments. For example, patients who should avoid this procedure include pregnant and breastfeeding women, people with suppressed immune systems, and those susceptible to keloid scarring. It is important to manage the patient’s expectations prior to the procedure, as the treatment is limited in the changes it can create. If patients have large noses, dorsal humps, or unique skeletal structures, surgical procedures may be the preferred mode of treatment.
Swelling and bruising are the most common side effects. Normally, both dissipate after one to four weeks. The chin may also become sore due to swollen and stiff facial muscles. Over-the-counter analgesics reduce pain and swelling. Furthermore, patients should avoid touching the treated areas and wearing makeup for at least 12 hours following treatment, as this may lead to infection. Rarely, necrosis may occur due to vascular occlusion. This is a serious complication, but risk is minimized for patients receiving treatment from an established and experienced practitioner who adheres to safe injection protocol.
When practitioners are piercing the skin, it is recommended that they aspirate as a safety measure. This is to ensure that a blood vessel has not been accidentally pierced prior to injecting the filler. Patients should be advised prior to treatment that the nose is a high-risk injection site due to its complex vasculature. Injections must be deep and completed in small increments, so the product falls close to the bone or cartilage. If the skin shows signs of occlusion, notably skin blanching (turning white), the filler should be immediately dissolved with hyaluronidase. If patients note any sudden side effects at home after their treatment, such as white spots, ulceration, or blistering, they should seek urgent care.
Profiloplasty is a cost-effective alternative to traditional cosmetic surgery, avoiding the trauma and scarring often associated with the latter. The procedure is considered safe for all class-II skeletal patients, with results lasting up to 18 months if a highly cross-linked filler is used. Patient expectations should be managed and the risks should be outlined prior to the treatment. With experienced injectors, the risk is minimized. The result is a balanced profile with proportional features.