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Profileplasty: Comprehensive Facial Profile Management Algorithm Based on 426 Patients.

Alvaro Reategui1, Hossein Jazayeri2, Alexa Mier1

  • 1Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH.

The Journal of Craniofacial Surgery
|December 23, 2024
PubMed
Summary

This study presents a profileplasty algorithm for improving facial aesthetics by considering the nose, midface, and chin together. The algorithm systematically guides targeted corrections for various nasal and facial profile patterns.

Keywords:
Facial profilegenioplastyorthognathic surgeryprofileplastyrhinoplasty

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery
  • Rhinology

Background:

  • Profileplasty traditionally addresses nasal humps or chin projection.
  • Facial profile optimization requires a holistic approach considering the nose, midface, and chin.
  • Existing methods lack a systematic algorithm for comprehensive profile correction.

Purpose of the Study:

  • To describe typical facial profile patterns.
  • To propose a treatment algorithm for profileplasty.
  • To validate the algorithm's adherence in clinical practice.

Main Methods:

  • Retrospective review of 426 rhinoplasty patients with photographic and clinical data.
  • Analysis of pre- and postoperative images using Goode, Steiner, E, and S line analyses.
  • Development and validation of a treatment algorithm based on expert opinion and patient chart review.

Main Results:

  • Patients were categorized into poor nasal profile with balanced or unbalanced facial profiles.
  • Specific treatment strategies were proposed for prominent/flat nasal dorsums and convex/concave profiles.
  • The proposed profileplasty algorithm demonstrated 98.6% adherence in patient treatment.

Conclusions:

  • Common facial profile patterns can be systematically classified.
  • A novel profileplasty algorithm facilitates targeted treatment planning.
  • This algorithm enhances the comprehensive correction of facial profile deformities.