Single-Step Full-Face Surgical Treatment of the Facial Profile

Abstract

Objective: The present study was performed in order to describe how much affordable, feasible and straightforward is the approach the authors called “single stage full face surgical profileplasty”, tailored to greatly improve the surgery of the facial profiling setting and achieving a complete profile correction at the same time. Materials and methods: From January 2010 to May 2019, 113 patients (95 females and 18 males; ages 19−63 years) were surgically treated for the full-face profile amelioration. Profile correction was performed by using a combination of five procedures out of other various previously experienced: Forehead fat grafting, Rhinoplasty, Lip fat grafting, Genioplasty and Submental Liposuction. All patients were assessed at 1, 3, 6 and 12 months following surgery for assessing the Surgical Profile Treatment (SPT) outcome and any possible side effects of the combined treatment. Facial profile stability at one year was taken as the completion point of this treatment. The Arnett’s “Soft tissue cephalometric analysis” (1999) was used to clinically evaluate the soft tissues before and after the Surgical Profile Treatment. Patients’ satisfaction was measured with the Client Satisfaction Questionnaire-8” (CSQ-8) at 3 and 12 months after surgery. Statistics were used for Arnett’s evaluation. Results: Almost all the values were consistent and reached the normal ranges indicated by Arnett, (p<0.001) confirming that the desired results of the surgical profileplasty have been achieved. Conclusion: Single stage full face surgical profile treatment helps in correcting faults of the global facial deformity and even in every single treated area, providing an overall improvement in face aesthetics and harmony. Obtaining the simultaneous correction in the whole face has also the advantage of avoiding multiple surgical procedures, reducing post-op discomfort and the overall risks for the patient due to multiple surgical and anesthetic procedures.