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What is meant by 'facial harmony'?
The medical analysis of facial harmony relies on objective reference points:
proportions: the face is classically analysed in three sections (forehead, midface, lower face), whose relative balance contributes to the overall impression;
the profile: the projection of the nose, that of the chin and the line they draw together determine the balance of the profile — a receding chin can, for example, visually accentuate a nose that is in fact well proportioned;
volumes: cheekbones, temples and cheeks support the tissues and shape the way light falls across the face; their loss hollows and hardens the features;
symmetry: slight asymmetry is universal and natural; only a marked asymmetry, or one experienced as bothersome, justifies correction.
This analytical framework makes it possible to identify precisely what creates the perceived imbalance — and therefore to treat the right area, rather than the most visible one.
Why facial balance changes
Genetics and morphology: certain proportions are inherited (a receding chin, a prominent nose, flat cheekbones).
Ageing: loss of volume in the deep tissues, displacement of the fat compartments and skin laxity alter the proportions over time.
Life events: significant weight changes, pregnancy or previous procedures can alter the balance of the face.
The aim of treatment is to analyse the overall balance and propose suitable options, without seeking an artificial transformation.
Harmonising without surgery: aesthetic medicine
When the imbalance is moderate, or when a progressive and reversible approach is preferred, injectable treatments are often the first step.
Hyaluronic acid injections restore volume to hollow areas (temples, cheeks, tear troughs) and can correct a receding chin or a poorly defined jawline, without surgery.
Botulinum toxin injections modulate muscle activity: they correct certain asymmetries of expression and can slim the lower face.
Thread lifts moderately reposition the tissues in cases of early sagging.
These procedures are performed at the practice, with minimal social downtime. Their effects are temporary, which allows the result to be adjusted over time.
Correcting durably: surgery
When the imbalance is structural — involving bone or cartilage — or when a permanent result is desired, surgery provides corrections that injections cannot offer.
The profile: nose and chin
Rhinoplasty modifies the shape or projection of the nose; chin surgery (genioplasty) corrects a receding or overly projected chin. Considering both within a single analysis — profiloplasty — often gives a more accurate result than the isolated correction of a single feature.
Volumes: lipofilling
Facial lipofilling reinjects the patient's own fat to durably restore the volumes of the cheekbones, temples or cheeks.
The jawline and the lower face
When sagging is established, the face and neck lift repositions the tissues of the face and neck and redefines the facial contour.
The ears
Ear surgery (otoplasty) corrects protruding ears that disturb the balance of the face, particularly when seen from the front.
Zone by zone: which options for which imbalance?
Hollow forehead and temples → hyaluronic acid or lipofilling.
Flat cheekbones → hyaluronic acid, lipofilling.
Nose (hump, tip, projection) → rhinoplasty; certain minor corrections can be addressed with injections.
Chin and jawline → hyaluronic acid for a moderate correction; genioplasty for a structural discrepancy.
Sagging facial contour, jowls → thread lifts at an early stage; face and neck lift at an established stage.
Protruding ears → otoplasty.
This overview provides general guidance only: an indication can only be established through analysis in consultation.
Management pathway
Initial consultation: complete morphological analysis (proportions, profile, volumes, symmetry), medical photographs and an in-depth discussion of what genuinely bothers you.
Personalised plan: proposal of a single treatment or a combination (aesthetic medicine and/or surgery), with an explanation of the benefits, limitations and risks of each option.
Gradual approach: wherever possible, preference is given to progressive, reversible approaches; a quote and a reflection period precede any surgical procedure.
Expected results and follow-up
The goal is a more balanced face that remains your own: those around you often perceive a 'healthy glow' or rested features, without identifying any specific change. How long the effects last depends on the procedure: temporary for injections, long-lasting for surgery. Regular follow-up allows the evolution to be assessed and the result to be maintained.