The Architecture of the Face

Understanding the structure beneath the face before changing its surface.

A structure-first surgical philosophy shaped by rhinoplasty, airway research, maxillofacial training, and reconstructive experience.

Since 1998Head of surgical service
ISAPSInternational member
50+Published works
Profile portrait study with architectural facial measurement references.
01  The method

Surgical Principles

Five principles govern every plan — and recur across every procedure and case on this site. Select one to see how it shapes the work.

01

Identity

The face you arrive with is the reference — not a template. Planning protects the features that make you recognisably yourself, refining proportion without erasing character.

02

Balance

Proportion is assessed across the whole face, never one feature in isolation. Every change is measured against the structures around it, so the result reads as harmony rather than correction.

03

Function

Form follows function. Breathing, expression and movement are planned alongside appearance — an outcome that looks right must also work correctly over a lifetime.

04

Precision

Imaging, measured planning and controlled technique reduce variability. The decisions are made before the operating room, so execution is exact and repeatable.

05

Longevity

Results are designed to age well. Conservative, structurally sound technique favours outcomes that hold their shape and stay natural years later — not just at the first review.

Dr. Ara Hayrapetyan, plastic, aesthetic and maxillofacial surgeon, in his clinic.
Dr. Ara Hayrapetyan
02  The surgeon

Dr. Ara Hayrapetyan

Dr. Hayrapetyan came to aesthetic surgery through structure. His career began in 1993 in trauma, reconstructive and craniofacial surgery — restoring form and function long before aesthetics became his focus — and that breadth still shapes how he plans every result.

Trained across both the dental and medical faculties and qualified in plastic and maxillofacial surgery, he holds Candidate and Doctoral degrees dedicated to rhinoplasty and is the author of more than fifty scientific publications. Three decades of operative experience, much of it leading surgery at Erebouni Medical Center, inform a single discipline: understand the structure beneath a face before changing its surface.

Identity · Balance · Function · Precision · Longevity

About the practice
03  What we do

Procedure categories

Grouped by region and intent. Each category is planned around the principles above.

FACIAL

Facial Surgery

Facelift, brow and forehead lift, eyelid surgery and otoplasty — refinement that respects the existing structure of the face.

Identity · Balance

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RHINOPLASTY

Rhinoplasty

Primary and revision rhinoplasty, including functional correction of nasal breathing — the focus of two doctoral dissertations.

Function · Precision

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BODY

Body Surgery

Liposuction, abdominoplasty, and breast augmentation and lift — restoring proportion with measured, lasting results.

Balance · Longevity

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MAXILLOFACIAL

Maxillofacial Surgery

Dental implantation, jaw and paranasal-sinus correction, tumour treatment and congenital-anomaly surgery.

Function · Precision

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CRANIOFACIAL

Craniofacial Surgery

Craniosynostosis, congenital skull and face anomalies, and surgical treatment of exophthalmos — complex structural work.

Precision · Function

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COSMETOLOGY

Rejuvenation

Rejuvenation courses, injectables and dermatological care — conservative, non-surgical options where surgery is not required.

Identity · Longevity

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04  Evidence

Selected outcomes

Documented case studies rather than spectacle. Visual records are added only with consent.

Published with patient consent

Functional rhinoplasty

Goal: improve breathing while preserving the natural profile.

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Published with patient consent

Facial balance

Goal: restore proportion after previous surgery elsewhere.

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Published with patient consent

Reconstructive outcome

Goal: rebuild form and function after oncologic treatment.

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05  From anywhere

The international journey

A clear, coordinated path from first message to long-term follow-up.

01 — REMOTE

Remote consultation

A structured first review by video, with imaging guidance and a written summary.

02 — PLANNING

Planning

A surgical plan, timeline and cost estimate prepared before any travel is booked.

03 — FOLLOW-UP

Care that follows you home

Recovery guidance and remote follow-up coordinated with your local clinicians.

See the full journey
06  The setting

A calm, modern clinical environment.

Modern facilities, clear protocols and a quiet, unhurried setting designed to keep planning and recovery comfortable and well-supported.

  • Accredited operating facilities
  • Coordinated pre- and post-operative care
  • Privacy and discretion as standard
GRACIELLA Surgical reception — a calm, modern clinical environment in warm neutral tones.
07  Reading

From the journal

Clear writing on natural results, nasal function and international care.

NASAL FUNCTION

Why breathing comes first in nose surgery

How airway and structural support shape a rhinoplasty plan.

Read
RESULTS

What “natural” actually means in aesthetic surgery

Why preserving identity matters more than chasing an ideal.

Read
RECOVERY

Recovering well as an international patient

Planning, travel, recovery and follow-up, coordinated across borders.

Read
Begin

Start with a considered conversation.

A consultation is an assessment, not a commitment — a clear, honest discussion of what is possible.

Book a consultation