Facial contouring in Lima: harmonizing your profile

Facial contouring isn't a single procedure with a fixed name — it is a personalized plan to define and harmonize the contour of your face. Rather than always applying the same technique, Dr. Geldres, plastic surgeon, studies your face as a whole —the oval, the cheekbones, the jawline, the chin and the neck— and designs a combination of procedures suited to your anatomy and your goals.

The central idea is harmony: that each feature looks proportionate to the others and, above all, that the result still looks like you. It isn't about transforming your identity or copying a trendy face, but about refining the balance that already exists. Sometimes that means removing a little volume where there is excess; other times, restoring volume where the face has "deflated" over the years; and in many cases, redefining the angle between the chin and the neck so the profile looks cleaner.

That is why it's important to understand from the start that facial contouring is a strategy, not a closed product. Two people who arrive with the same concern —"I want a more defined face"— may end up with very different plans. What they share is the method: careful analysis first, and only then the choice of tools.

• It is a tailored plan, not a standard operation.
• It can be surgical, minimally invasive, combined or, at times, mostly non-surgical.
• Its goal is proportion and naturalness, not a drastic change.
• The exact plan and its price are defined at the consultation, after assessing your case.

Because facial contouring is a plan, its contents vary. These are some of the tools Dr. Geldres may combine, always according to what your face needs. Not all of them are used in every case.

• Buccal fat removal. Removes part of the Bichat fat pads to slim the mid-face and enhance the contour beneath the cheekbone. Useful when there is excess volume in the cheeks. More detail on our buccal fat removal page.
• FaceTite / AccuTite. Assisted radiofrequency technology that tightens the skin and addresses fat in the oval, jawline and neck through minimal incisions. A middle ground between non-surgical and open surgery. See it on FaceTite.
• Endolift facial. Stimulates and redensifies from within to improve the firmness of the contour with a minimally invasive approach. More information on endolift facial.
• Lipofeeling / fat grafting. Repositions your own fat to restore volume and smoothness where the face has deflated —cheeks, folds, temples. Details on facial fat grafting.
• Hyaluronic acid. From aesthetic medicine, it lets us define edges and project specific areas without surgery. Learn about hyaluronic acid dermal fillers.

The benefit of planning it all in one place is that these pieces are chosen with their interactions in mind. Sometimes the best decision is to combine two procedures in one session; other times, to space them out; and others, to skip surgery and resolve it with aesthetic medicine. That choice is medical, individual and honest.

Facial contouring tends to suit people who feel their face has lost definition or never had the contour they would like, and who prefer a comprehensive approach over an isolated procedure. Even so, the final indication is always determined by Dr. Geldres after assessing you.

• You want to improve the definition and harmony of the oval, jawline, cheekbones or neck.
• You prefer a plan thought out as a whole rather than treating a single zone in isolation.
• You are in good general health with no conditions that contraindicate the proposed procedures.
• You hold realistic expectations: you understand the goal is to refine your face, not transform it.
• You are willing to follow the recovery instructions and attend follow-up visits.

There are situations where it is better to wait or rethink: very advanced laxity may call for a broader facelift rather than contouring; an unrealistic goal needs to be discussed before any surgery; and certain health conditions require prioritizing safety. Part of the value of the consultation is precisely to tell you honestly whether this plan is —or isn't— right for you.

One of Elyzea's pillars is that surgery is performed in our own certified operating suite, within the same Miraflores clinic that houses the aesthetic-medicine unit. We don't refer out to third parties: the surgical environment is ours and meets the standards each procedure's safety requires.

The type of anesthesia depends on the components of your plan. Some facial-contouring procedures can be done under local anesthesia or local with sedation; others, more extensive, require a higher level of anesthetic management. Dr. Geldres and the team define the safest approach for your case and explain it to you before the procedure.

• Procedures performed by Dr. Geldres, plastic surgeon.
• An own, certified operating suite at the same Miraflores location.
• Anesthesia matched to the real complexity of your plan.
• Prior health evaluation to minimize risks.

Safety is not an afterthought: it shapes what can be combined in a single session and what is better separated. When a plan calls for more surgical time than is prudent, it is staged. That decision is always made by prioritizing your well-being over the convenience of "doing it all at once."

The goal of facial contouring is a natural, harmonious result: that your face looks more defined and balanced, yet you still recognize yourself. Well planned, it shouldn't "look like" a procedure but simply project a more rested and proportionate version of you.

It is important to hold realistic expectations. Results vary from person to person depending on anatomy, skin quality, age and the procedures chosen. We don't promise a result identical to someone else's nor a drastic change: we promise careful work aimed at harmony, carried out with medical judgment.

• We seek definition without artificiality; naturalness is the guiding criterion.
• The result is individual and depends on your case.
• Some components offer longer-lasting effects and others require maintenance.
• Aging continues: no procedure stops it completely.

It is also worth remembering that the facial contour will keep changing over time, as it naturally does. That is why part of the plan may include maintenance or skin-care recommendations. The aim is not to freeze your face but to improve it so that it ages well.