Several factors can explain a perceived facial imbalance
- Genetics and morphology: certain proportions are inherited and give a naturally more angular or rounder face.
- Ageing: loss of tissue volume, displacement of fat and skin laxity modify proportions over time.
- Life events: weight loss or gain, pregnancy, or prior procedures can alter facial harmony.
- Habits and posture: head position, chewing and repeated expressions also influence appearance.
These phenomena are normal and evolve over time. The aim of treatment is to analyse the overall balance and propose tailored options to restore or improve harmony, without aiming for an artificial transformation.
Possible solutions
Depending on the cause of the imbalance and the patient's wishes, several options may be considered. Aesthetic medicine and aesthetic surgery are generally distinguished.
Aesthetic medicine
- Hyaluronic acid injections: targeted filling of hollow areas (cheeks, temples, nasolabial folds, chin) to restore volumes and refine contours.
- Botulinum toxin: modulating muscle activity to correct minor asymmetries, treat expression lines or slim the mandibular line.
- Skin boosters and biostimulation: injectable treatments aimed at improving skin quality (hydration, elasticity) and contributing to a more harmonious appearance. These procedures are often carried out progressively and can be combined for a subtle rebalancing.
Aesthetic surgery
- Facial lipofilling (autologous fat injection): reinjection of fat harvested from the body to restore natural volumes in the cheeks, temples or chin.
- Facelift and mini-lift: procedure aimed at repositioning tissues and correcting skin laxity to improve the proportions of the lower and mid-face.
- Rhinoplasty and profiloplasty: modification of the shape or projection of the nose and chin to harmonise the facial profile. Surgical procedures are discussed according to anatomy, expectations and risks, and involve multi-stage follow-up.
Management pathway
- Initial consultation: precise assessment of facial morphology, photographs, discussion of expectations and definition of priorities.
- Personalised plan proposal: choice of a single treatment or a combination of procedures, with explanation of benefits, limitations and risks.
- Safety and gradual progression: preference for gradual, controlled and reversible approaches where possible, with scheduled post-procedure follow-up. The final decision is made after informed discussion and a period of reflection.
Expected results and follow-up
- Realistic goals: improved balance, harmonised volumes and preservation of a natural appearance.
- Variability: the intensity and duration of effects depend on the procedure chosen, individual biology and lifestyle habits.
- Follow-up: post-operative consultations or aesthetic medicine follow-up appointments to assess progress, adjust touch-ups if necessary and ensure long-term maintenance.