Injectable profiloplasty, a groundbreaking approach in non-surgical facial reshaping, has been a staple of aesthetic medicine in recent years, utilizing dermal fillers to harmonize and enhance facial features without the need for invasive surgery.

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Today, we will delve into the intricacies of injectable profiloplasty, exploring the various procedures, applications, and transformative potential of this minimally invasive beautification option.

Understanding the Basis of Injectable Profiloplasty

While the strategic use of dermal fillers is vital to this procedure, to understand the profiloplasty in its entirety, we have to look past the procedure itself.

Facial Anatomy

Facial anatomy, with its complex interplay of muscles, fat pads, bones, and skin, is pivotal in profiloplasty.

As the procedure intricately targets specific facial zones, considering the underlying anatomical structures to achieve a balanced and aesthetically pleasing outcome is paramount.

For instance, an article by B. Tamura emphasized the importance of a detailed understanding of facial topography, highlighting the risks associated with injections and the need for precise anatomical knowledge to ensure safety and efficacy in procedures like profiloplasty [1].

Types of Dermal Fillers Used

Profiloplasty predominantly employs two types of dermal fillers – hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) fillers.

HA, a naturally occurring substance in the skin, is favored for its hydrating and volumizing properties, offering a temporary yet natural-looking enhancement.

CaHA, on the other hand, is known for its longer-lasting results and collagen-stimulating abilities, providing both immediate correction and progressive improvement in skin texture.

How the Injectable Profiloplasty Procedure Goes?

In the quest for profile balancing, a patient and the practitioner must both go through several stages, starting with a consultation, where the practitioner assesses the patient’s facial structure, discusses aesthetic goals, and outlines potential enhancements.

In some instances, advanced imaging and facial mapping technologies may be used to enhance precision. These tools allow for a detailed visualization of the facial anatomy, aiding in accurate filler placement and symmetry.

As for the procedure itself, it all starts with preparation, where the targeted areas are cleaned, and a topical anesthetic may be applied to minimize discomfort.

Then, the practitioner marks the injection sites on the face, ensuring symmetry and balance of the final result.

Using fine needles or cannulas and utilizing specialized techniques, the filler is injected at predetermined points. The filler-injection techniques utilized could be:

• Layering Technique: Fillers are injected at varying depths for a natural, three-dimensional effect.
• Linear Threading: A continuous line of filler is injected for smooth, linear enhancement.
• Fanning Technique: Multiple injections from a single entry point, fanning out to cover larger areas.
• Cross-Hatching: Used for building volume and structural support, involving perpendicular injection patterns.

In addition, the practitioner may gently massage the area to mold the filler into the desired shape.

Post-injection, the practitioner evaluates the results, ensuring the harmony and proportion of the facial features are enhanced as planned.

What Are the Most Common Target Areas for Injectable Profiloplasty?

The most common target areas for injectable profiloplasty are nose, chin, cheeks, and lips.[2]

Nose: Non-Surgical Rhinoplasty

• Objective: To refine the nose’s shape, addressing issues like bumps, asymmetry, or a drooping tip.
• Technique: Strategic filler placement along the bridge or tip to achieve the desired profile aesthetics.

Chin and Jawline: Enhancing Facial Contours

• Objective: To strengthen a weak chin or define the jawline.
• Technique: Fillers are injected to add projection to the chin or to sharpen the jawline, enhancing the lower facial contour.

Cheeks and Lips: Volume Restoration and Balance

• Objective: To restore lost volume in cheeks and create fuller, more defined lips.
• Technique: Volumizing fillers are used to lift and contour the cheeks, while lip fillers enhance the shape and volume of the lips.

Additional Areas: Forehead, Temples, and Eyebrow Region

• Objective: To smooth forehead lines, fill temple hollows, and lift the eyebrows.
• Technique: Careful placement of fillers to rejuvenate and refresh the upper face.

What Does Injectable Profiloplasty Recovery Look Like?

The recovery process following injectable profiloplasty is typically straightforward and swift, allowing most patients to resume their daily activities almost immediately. It’s common to experience mild swelling, redness, and occasionally bruising at the injection sites, but these symptoms usually subside within a few days to a week.

That said, during the first week, patients are advised to avoid strenuous activities and not to apply pressure to the treated areas to prevent displacing the filler. Applying cold compresses can be beneficial in reducing swelling and bruising, but maintaining a gentle touch is vital.

As the fillers settle over the subsequent weeks, the full effects become more evident, with any minor asymmetries typically smoothing out.

Finally, patients must manage their expectations, understanding that while immediate results are noticeable, the longevity of these outcomes varies and may require maintenance treatments for sustained effects.

Therefore, regular follow-up appointments are essential to assess the results and make any necessary adjustments.

In Conclusion: Who is Injectable Profiloplasty Ideal For?

As you can see, the Injectable profiloplasty is ideal for individuals seeking non-surgical solutions to enhance their facial symmetry and aesthetics. It is particularly suited for those looking to correct imbalances in facial features such as a disproportionate nose, receding chin, or lack of cheek definition.

It appeals to patients desiring immediate results with minimal downtime and those wary of the risks and recovery time associated with surgical interventions.

Additionally, it’s a preferred choice for people seeking temporary yet noticeable improvements, offering the flexibility to adjust or reverse the enhancements.

FAQs

What Is Profiloplasty With Dermal Fillers?

Profiloplasty with dermal fillers is a non-surgical cosmetic procedure that enhances profile symmetry by strategically injecting fillers into areas like the nose, chin, and cheeks.

What Are the Benefits of Profiloplasty With Dermal Fillers?

The benefits of profiloplasty with dermal fillers include improved facial profile balance and harmony, minimal downtime, immediate visible results, and the procedure’s reversibility.

Is Profiloplasty With Dermal Fillers Safe?

Profiloplasty with dermal fillers is generally safe when performed by a qualified practitioner, although, like any cosmetic procedure, it carries risks such as swelling, bruising, and rare cases of more serious complications.

References:

1. Tamura, Bhertha. (2013). Facial topography of the injection areas for dermal fillers, and associated risks. Surgical and Cosmetic Dermatology. 5. 234-238.
2. Bertossi D, Lanaro L, Dell’Acqua I, Albanese M, Malchiodi L, Nocini PF. Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment. J Cosmet Dermatol. 2019 Aug;18(4):976-984. doi: 10.1111/jocd.12792. Epub 2018 Nov 15. PMID: 30444074.