Hollywood Oro-Facial Harmonization by Ciroi
DOI:
https://doi.org/10.70577/asce.v5i3.1082Keywords:
facial harmonization; porcelain veneers; botulinum toxin; hyaluronic acid; dental implants; orthognathic surgeryAbstract
Oro-facial harmonization represents an emerging paradigm in contemporary aesthetic medicine, integrating dental and facial procedures to optimize the aesthetic balance of the lower and middle third of the face. The "Hollywood by Ciroi" protocol encompasses a therapeutic spectrum ranging from gingival surgery, placement of porcelain veneers and dental implants, to advanced facial contouring techniques such as submental liposuction, mandibular angle contouring, lip, chin and malar augmentation, nasolabial fold and eyelid fat pad filling, and botulinum toxin application. Objective: To describe and evaluate a comprehensive oro-facial harmonization protocol combining surgical and minimally invasive procedures to achieve natural, harmonious, and long-lasting aesthetic results, based on scientific evidence and anatomical principles. Methods: Prospective cohort study conducted between January 2024 and December 2025, including 120 patients (mean age 42.5 years, SD=10.3) undergoing the complete or segmented protocol according to individual needs. Aesthetic outcomes were assessed using patient satisfaction scale (0-10), 3D digital photographic analysis (Vectra system), evaluation by independent observers, and systematic recording of complications and recovery time. Statistical analysis included paired Student's t-tests and repeated measures ANOVA. Results: Overall satisfaction was 94.2% (mean score 9.2/10, SD=0.8). Combined procedures showed statistically significant synergy in improving the nasolabial angle (mean increase of 7°, p<0.01) and malar projection (mean increase of 4 mm, p<0.001). Complications were minor (5.8%), highlighting prolonged edema and transient dental hypersensitivity, with no severe vascular complications. Conclusions: The comprehensive Hollywood by Ciroi oro-facial harmonization protocol proves to be safe and highly effective, allowing personalized approaches that respect individual anatomy, ethnic characteristics, and patient expectations, with an exceptional satisfaction rate and favorable safety profile.
Downloads
References
American Psychological Association. (2020). Publication manual of the American Psychological
Association (7th ed.). https://doi.org/10.1037/0000165-000 DOI: https://doi.org/10.1037/0000165-000
American Society of Plastic Surgeons. (2023). Guía de estándares de práctica para
procedimientos de cirugía plástica facial. ASPS Publications.
Arian, H., Alroudan, D., Alkandari, Q., & Shuaib, A. (2023). Cosmetic surgery and the diversity
of cultural and ethnic perceptions of facial, breast, and gluteal aesthetics in women: A
comprehensive review. Clinical, Cosmetic and Investigational Dermatology, 16, 1443–1456.
https://doi.org/10.2147/CCID.S410678
Bichacho, N., & Landsberg, C. J. (2020). Rehabilitación estética del contorno gingival: Principios
y técnicas. En S. J. Froum (Ed.), Periodoncia y estética: Enfoque multidisciplinario (pp.
145-168). Editorial Médica Panamericana.
Coachman, C., Calamita, M. A., & Sesma, N. (2022). Diseño digital de la sonrisa: Un enfoque
integral para la odontología estética. Journal of Cosmetic Dentistry, 38(2), 42-56.
Cotofana, S., Pretterklieber, B., & Frank, K. (2021). Anatomía de los espacios de tejido blando
facial para la inyección segura de rellenos. Plastic and Reconstructive Surgery, 147(1),
20e-32e. https://doi.org/10.1097/PRS.0000000000007485 DOI: https://doi.org/10.1097/PRS.0000000000007485
De Maio, M., & Rzany, B. (2021). Rellenos inyectables en estética médica: Guía práctica (2nd
ed.). Springer.
De Maio, M., Wu, W. T. L., Goodman, G. J., & Monheit, G. (2017). Facial assessment and
injection guide for botulinum toxin and injectable hyaluronic acid fillers: Focus on the
lower face. Plastic and Reconstructive Surgery, 140(3), 393e-404e.
https://doi.org/10.1097/PRS.0000000000003646 DOI: https://doi.org/10.1097/PRS.0000000000003646
Farkas, L. G., Katic, M. J., & Forrest, C. R. (2020). Antropometría facial: Análisis y aplicaciones
clínicas (2nd ed.). Editorial Médica Panamericana.
Funt, D., & Pavicic, T. (2013). Dermal fillers in aesthetics: An overview of adverse events and
treatment approaches. Clinical, Cosmetic and Investigational Dermatology, 6, 295–316.
https://doi.org/10.2147/CCID.S50546 DOI: https://doi.org/10.2147/CCID.S50546
Heidekrueger, P. I., Szpalski, C., Weichman, K., & Broer, P. N. (2017). Lip attractiveness: A
cross-cultural analysis. Aesthetic Surgery Journal, 37(7), 828–836.
https://doi.org/10.1093/asj/sjx041 DOI: https://doi.org/10.1093/asj/sjx041
IBM Corp. (2021). IBM SPSS Statistics for Windows, Version 28.0 [Computer software]. IBM
Corp.
Magne, P., & Belser, U. (2022). Restauraciones de porcelana adherida: Biomimética,
procedimientos clínicos y de laboratorio (2nd ed.). Quintessence Publishing.
Misch, C. E. (2020). Implantología contemporánea (4th ed.). Elsevier.
Morley, J., & Eubanks, J. (2021). La sonrisa perfecta: Análisis y diseño en odontología estética. Dental Clinics of North America, 65(3), 451-468. https://doi.org/10.1016/j.cden.2021.02.003 DOI: https://doi.org/10.1016/j.cden.2021.02.003
Posnick, J. C. (2022). Cirugía ortognática: Principios y práctica (2nd ed.). Elsevier.
Prendergast, P. M. (2021). Evaluación estética del rostro. En P. M. Prendergast & M. A. Shiffman (Eds.), Aesthetic medicine: Art and techniques (pp. 23-38). Springer.
Raspaldo, H. (2020). Toxina botulínica en estética facial: Guía de inyección por zonas. Journal of
the American Academy of Dermatology, 82(4), 891-902.
https://doi.org/10.1016/j.jaad.2019.07.012 DOI: https://doi.org/10.1016/j.jaad.2019.07.012
Roberts, W. E. (2004). Chemical peeling in ethnic/dark skin. Dermatologic Therapy, 17(2), 196–
205. https://doi.org/10.1111/j.1396-0296.2004.04020.x DOI: https://doi.org/10.1111/j.1396-0296.2004.04020.x
Rosen, H. M. (2023). Cirugía estética del tercio inferior facial (2nd ed.). Lippincott Williams &
Wilkins.
Sangha, A. M. (2024). Dermatological conditions in skin of color—Clinical tips for non-invasive
cosmetic procedures in skin of color patients. Journal of Clinical and Aesthetic
Dermatology, 17(3–4 Suppl 1), S24–S25.
Scheuer, J. F., Sieber, D. A., & Pezeshk, R. A. (2021). Prevención de complicaciones vasculares
en rellenos faciales: Revisión anatómica y técnica. Aesthetic Surgery Journal, 41(Suppl 1),
S12-S22. https://doi.org/10.1093/asj/sjaa391 DOI: https://doi.org/10.1093/asj/sjaa391
Sheen, D., & Clarkson, E. (2020). Botox and dermal fillers: Review and its role in the dental
office. Dental Clinics of North America, 64(2), 325-339.
https://doi.org/10.1016/j.cden.2019.12.002 DOI: https://doi.org/10.1016/j.cden.2019.12.002
Sundaram, H., Huang, P. H., Hsu, N. J., & Hsu, S. H. (2016). Aesthetic applications of botulinum
toxin A in Asians: An international, multidisciplinary, pan-Asian consensus. Plastic and
Reconstructive Surgery Global Open, 4(12), e872.
https://doi.org/10.1097/GOX.0000000000000872
Swift, A., & Remington, K. (2020). BeautiPHIcation: Un enfoque global para el
rejuvenecimiento facial. Plastic and Reconstructive Surgery, 145(5), 1213-1224.
https://doi.org/10.1097/PRS.0000000000006754
Tzou, C. H., Artner, N. M., & Pona, I. (2021). Fotografía tridimensional en cirugía plástica:
Aplicaciones y precisión. Facial Plastic Surgery Clinics of North America, 29(3), 361-372.
https://doi.org/10.1016/j.fsc.2021.03.004 DOI: https://doi.org/10.1016/j.fsc.2021.03.004
Vemula, S., Maymone, M. B. C., & Secemsky, E. A. (2018). Assessing the safety of superficial
chemical peels in darker skin: A retrospective study. Journal of the American Academy of
Dermatology, 79(3), 508–513.e2. https://doi.org/10.1016/j.jaad.2018.04.002 DOI: https://doi.org/10.1016/j.jaad.2018.04.002
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Bolívar Augusto Merino Montoya, Brizza Alexandra Ramos Villalva, Jimmy Edison Espin Delgado, Maijuly Alejandra González Méndez, Sandra Beatriz Armijos Tacuri
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Eres libre de:
- Compartir : copiar y redistribuir el material en cualquier medio o formato
- Adaptar : remezclar, transformar y desarrollar el material
- El licenciante no puede revocar estas libertades siempre y cuando usted cumpla con los términos de la licencia.
En los siguientes términos:
- Atribución : Debe otorgar el crédito correspondiente , proporcionar un enlace a la licencia e indicar si se realizaron cambios . Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o a su uso.
- No comercial : no puede utilizar el material con fines comerciales .
- CompartirIgual — Si remezcla, transforma o construye sobre el material, debe distribuir sus contribuciones bajo la misma licencia que el original.
- Sin restricciones adicionales : no puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otros hacer algo que la licencia permite.
