I’ve always been self-conscious of my...

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Nose, chin, profile... these are some of the most common features that lead to self-consciousness in otherwise confident patients who visit my office for consultation.  We are born with the blueprints for how our noses, chins and facial bone structure develop. Accordingly, our profiles and facial balance will develop in a particular way as we reach adolescence and maturity. Sometimes they develop disproportionately.  Often, in caucasians, this diproportion manifests in a small or retruded chin, and a small lower face.  The aesthetic result may range from an apparent “double chin” to pre-mature signs of aging, such as seen in the patient below.   Rebalancing facial structure without changing the natural appearance of a patient’s face, may involve augmenting or enlarging the chin, cheek bones or jawline, or refining the nose to make it more proportional to the rest of the face.  The optimal rebalancing is a combination of art and science, using prescribed measurements and proportions that are derived from special x-rays and the skilled, experienced eye and hand of a qualified surgeon.

The surgery can have dramatic effects in rebalancing the face, both from profile and front view.  It can also have a dramatic effect on the signs of facial aging, both present and future.

This patient exhibited facial disproportion pre-operatively. Chin retrusion resulted in skin and soft tissue laxity around the neck and jaw-line compunding the signs of aging. A sliding genioplasty and conservative rhinoplasty performed by Dr. Fialkov have improved her facial proportion,  reduced the aged look of her lower face and given her better facial balance.  She did not have any neck or face lift, nor did she have liposuction.


actual patient before

Cosmetic Surgery .ca is a site designed to help you address your specific facial cosmetic surgery questions and concerns.  Whether it is the signs of facial aging or a part of your face  with which you have always been unhappy, Cosmetic Surgery .ca will help you learn about the cosmetic procedures best suited to your needs.  Within the Cosmetic Surgery .ca site,  you will find descriptions of specific  procedures such as Rhinoplasty (nose reshaping or nose job), genioplasty (chin reshaping), otoplasty (ear reshaping),  Blepharoplasty (eye lid surgery),  Botox™, Brow Lift,  Fat Injection,  Liposuction,  Facelift,  and  more.  In addition you will find before and after  photographs  of some of Dr. Fialkov's cosmetic surgery patients and links to other sites of interest. 

Cosmetic Surgery .ca also provides an opportunity for you to submit some of your specific queries  to the Cosmetic Plastic Surgery office of Dr. Jeffrey Fialkov, assistant professor of Plastic Surgery at the University of Toronto, and staff Plastic Surgeon at Sunnybrook and Women's Health Science Centre in Toronto.  Dr. Fialkov specializes in facial plastic surgery procedures, and  is a certified plastic surgeon with membership in the royal college of surgeons of canada. http://www.plasty.carhinoplasty_nose_surgery.htmlrhinoplasty_nose_surgery.htmlchin_augmentation_surgery_toronto_genioplasty.htmlear_surgery_otoplasty.htmleyelid_blepharoplasty_surgery,_facial_cosmetic_plastic_surgery.htmlfacelift,_face_lift_toronto.htmlshapeimage_9_link_0shapeimage_9_link_1shapeimage_9_link_2shapeimage_9_link_3shapeimage_9_link_4shapeimage_9_link_5shapeimage_9_link_6