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Nasolabial Folds After Mid-Facelift

asked 1 year ago by CatTac1889 in Port Jefferson Station
Latest answer by Sam Naficy, MD
Question viewed 1,081 times
Tags: age 45-54, nasolabial folds, results

I am 52 and had a mid-lift Facial procedure with upper and lower eyelid Blepharoplasty with Co2 laser of lower Eyelids and upper lip done 2 weeks ago. I still notice some nasal labial fold sagging from the sides of my nostrils to the corners of my mouth. Will that get better as I heal? If not, what can be done? Everything else looks ok, but I'm not to happy with that.

28 answers to Nasolabial Folds After Mid-Facelift

+2

Nasolabial folds after midface lift.

It is way too early to make any determination. The swelling and the fold will continue to subside but you need to wait 6-12 months for the final result.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+3

Facelift correction of nasolabial folds.

A facelift has minimal effect on the nasolabial folds.  I typically take some of the tissue that I have removed from the facelift and place it in the nasolabial fold sulcus.  Fat transfer is also possible. All the best, Tal Raine MD FACS
Talmage J. Raine, MD

Chicago Plastic Surgeon
+3

Soften the nasolabial grooves with soft tissue filler

Hi CatTac1889- Generally speaking a mid-facelift will not soften the nasolabial fold. The mid-facelift helps soften the area over the bony rim of the the lower eyelid and the area just below. Fillers help soften the nasolabial groove.    Sincerely, Tom Kaniff
Thomas E. Kaniff, MD

Sacramento Facial Plastic Surgeon

www.facialcosmeticsurg.com

+3

There is no surgical cure for the nasolabial fold.

Dear CatTac Midface lifting and face lifting are incapable of flattening the nasolabial fold.  Of course this has not stopped surgeons from trying.  The effects of these endeavors is to surgically distort the face.  Some surgeons harbor the mistaken belief that their surgery can benefit this area.  It is important to understand that eliminating the nasolabial fold with fillers or surgery will distort the face.  Fillers will soften this feature and that is about... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+3

Midface lift

Every physician is different in their techniques and every patient has unique anatomy, but my experience has been as follows: Facelift or mid facelift may improve, nasolabial folds, but will generally not alleviate them entirely.  Fillers are generally the best option.  Often, when a facelift is performed, excess tissue that is excised may be placed beneath the nasolabial folds after they have been undermined by your physician.  Juvederm, Radiesse, restylane, etc... more
Jason R. Hess, MD

San Diego Plastic Surgeon
+2

Fillers may be required to improve Nasal Labial Folds after Mid Facelift

The best Mid Facelift cannot eliminate the Nasal Labial Folds. While the Mid Facelift can plump and rejuvenate the cheek, the Nasal Labial Folds are primarily caused by the contraction and pull of the facial smile muscles which of course continue to work and pull after the Facelift. Fortunately filler injections with Perlane or Radiesse can plump the cheek further and help lessen, but not eliminate, the Nasal Labial Fold appearance. Of course you will need to wait 2-3 months for... more
Brooke R. Seckel, MD

Boston Plastic Surgeon

www.drseckel.com

+2

Face Lift, Mini Face Lift, The Palmer Celebrity Face Lift, Beverly Hills Face Lift

2 weeks is awful early from the Face Lift, Co2 Laser and eyelid surgery to make a final evaluation of your results.  If you had micro-lipo of the NLF's to reduce the fat in that area, it can take up to 3 months for the residula swelling to finally resolve.  Give yourself several more weeks at least for this swelling to subside.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+2

2 weeks is too soon to judge results

It is a bit too soon to judge the final results after a mid face lift in 2 weeks.  There is still some edema and swelling going on.  I would hold off on final judgement.  The other thing that works very well is a semi-permanent filler such as Radiesse.  It lasts over a year, and really gives a good pick me up in the melolabial folds.  I find that the conjunction of lift + a little Radiesse is an awesome combination and really rejuvenates the entire midface area. more
Raghu Athre, MD

Houston Facial Plastic Surgeon

www.athresurgical.com

+2

Tincture of time and injectables

You need to give your face some time to heal. Unfortunately, it won't matter because you will still have the nasolabial folds. They get better with a midface lift but they don't go away. Facial fillers have a definite place in this situation. Discuss this with your board certified plastic surgeron to see which is best for you. I hope this is useful for you. Jon Sattler, MD, Board Certified Plastic Surgeon, Glendora, California
Jon Sattler, MD

Glendora Plastic Surgeon
+2

Proper expectations after mini-face lift.

Nasolabial folds can be obliterated by a through facelift with FAME, which stands for Finger Assisted Malar Elevation.  But that's not the surgery that was done here.  More and more people are having abbreviated procedures and that's appropriate for 40's and 50's.  But the expectations have to be abbreviated as well.  Two weeks after surgery is too early to judge anything, but don't close the door on the use of dermal fillers later for the nasolabial... more
Ritu Chopra, MD

Beverly Hills Plastic Surgeon
+2

Nasolabial Folds after Midface Lift

A midface liftt will improve the nasolabial folds. Normal post-op swelling will cause the appearance that concerns you. Wait 2-3 months to see if this improves. If there is no change, submit photographs which will help us make suggetions re treatment.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+2

Nasolabial folds at two weeks?

Too early for such a question.  Be patient.   N-L folds cannot be removed but only improved.  Many people need Juvederm later.      It take one year to heal.  Dont look in the mirror with analysis in mind until after 3 months.  Talk to your surgeon.   Surgery is surgery and it can do what it can do,  and no more.   Patience is part of the contract.    Good luck.
George Commons, MD

Palo Alto Plastic Surgeon

www.pacfps.com

+2

Deep Nasolabial Folds after Midface lift

I would recommend that you give 4-6 weeks to allow the swelling to completely resolve.  If at this point, you still have prominent nasolabial folds, then they will most likely not improve.    I typically recommend fat grafting during the facelift procedure to complement and help rejuvenate deep nasolabial folds.   This would be my procedure of choice to give you a long lasting result.       Other less invasive options, include fillers such as... more
Paul S. Gill, MD

Houston Plastic Surgeon
+2

Prominent Nasolabial Folds after a Mid-Face Lift

The process of aging includes not only the effects of gravity on your midface, thereby pulling the tissues down over the nasolabial folds, making them appear deeper and more prominent, but also volume loss. This means that only lifting the tissues via a midface lift without adding volume to your nasolabial folds may still leave you with lines that bother you. In addition, just two weeks after surgery, you may have residual swelling in your cheeks and your upper lip which are making the... more
Jen Yuan Chow, MD

Pasadena Facial Plastic Surgeon
+2

A MIdface Lift Will Not Improve The Depth Of The Nasolabial Folds

No form of a facelift, albeit  a midface lift or even a facelift, will significantly improve the depth of the nasolabial folds. Improving that area in facelifting surgery has remained elusive. What you are seeing now in the nasolabial folds will not improve with time...and may even get a little worse as the tissues settle. Nasolabial folds must be attacked directly through either synthetic injectable fillers, fat injections, or dermal graft insertions. Ideally, the nasolabial folds and... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+2

A Midface Lift Will Soften but Not Eliminate Nasolabial Folds

A midface lift (depending on the technique used) can definitely improve the nasolabial folds to a great degree.  For further improvement of the nasolabial folds microfat transfer to the folds can be done at the same time as a midface lift.   Soft tissue fillers like Radiesse, Restylane, Juvederm or Perlane can also be effective but only offer temporary improvement.  
James C. Marotta, MD

Long Island Facial Plastic Surgeon

www.marottamd.com

+2

Please send your pictures

Please send picture to evaluate your concerns better. Mid face lifts are not done same by all surgeons and in general they do not work.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+2

Addressing Nasolabial Folds after Midfacelift

Hi, The purpose of a mid-face lift is to reposition the fat pads in the cheek and midface. This can result in  lifting the sagging fat and tissues of the cheek, and to a lesser extent the jowls  diminishing the hollow appearance under the eyes  increasing the fullness (or anteroposterior dimension) of the upper cheek, giving a more youthful appearance The nasolabial folds (NLFs) can be made less prominent with a midface lift because the sagging fat... more
Sarmela Sunder, MD

Beverly Hills Facial Plastic Surgeon
+2

Midfaceift and Nasolabial Folds

Hi, A midface lift will not flatten the nasolabial folds completely. Midface lift will elevate the malar fat pad and reposition midface. The naso labial folds may look somewhat better after this procedure but not completely eliminate them. Only injectable fillers will flatten the naso-labial folds. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+2

Mid face lift does not eliminate nasolabial folds.

Hi. A well done mid face lift accomplishes three things:        1) It lifts the corners of the mouth.        2) It moves fullness from the jowl and lower cheek to the area of the cheekbones, thus re-creating the heart shaped face of youth.        3) It blends and smooths out the junction between the lower eyelids and the cheeks, helping to erase the tear trough. In a young face, you... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+2

"Mid-lift" and nasolabial folds

If you had a procedure called a mid-lift it was probably a midface lift. This procedure elevates the fat in the cheek but usually does little to tighten the skin in that area. The nasolabial folds can be improved if the skin if the cheek is tightened, though this is not usually done with a mid-face lift, Mini-facelift, on the other hand, can improve the nasolabial folds by tightening the skin. Either way, if you have deep nasolabial folds after your procedure you have a couple options. You... more
Adam Rubinstein, MD

Miami Plastic Surgeon

dr-rubinstein.com

+1

Nasolabial Folds After Mid-Facelift

The best treatment for nasolabial folds is non-surgical and involves use of injectables. Surgery may at times soften the folds a bit but is not as effective as injections
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Wait for the healing process to take its course

Nasolabial folds will often times become more prominent in the initial healing phase after a mid facelift. The swelling of the region drags down the tissue and increases the fold. I would be patient and allow the healing process take its course. Make sure you follow up with your plastic surgeon. see video
Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon
+1

Nasolabial folds and mid face lift

Midface lift is sooo 90's. I think fillers have pretty much replaced any other treatment of the N-L folds. After all is said and done, just put some filler for improvement. Sculptra is a godsend for n-l folds and malar volumizing. studies have generally shown deflation not descent is the problem in this area. good luck.
Rafael C. Cabrera, MD

Boca Raton Plastic Surgeon
+1

Nasolabial folds after a facelift

Two weeks is still very early in the healing period, however, it is unlikely that you will see any significant change in the nasolabial fold area.   Improvement in the depth of the nasolabial fold - in particular of the upper 1/2 - following any type of face lift surgery is generally minimal.  Fillers have a definite role.  During the face lift procedure, I will often perform either fat grafting or SMAS grafting in a patient with deep nasolabial folds. more
Andrew B. Denton, MD

Vancouver Facial Plastic Surgeon
+1

Nasolabial Folds after Midface Lift

Nasolabial folds respond best to filling. We commonly use fat injections or commercially available fillers such as Radiesse, Perlane or Artefill. This is best done after most of the healing from your surgery has taken effect - usually about 3 months. As a side note, I would not be surprised if your creases will deepen over the next 3 months as swelling decreases and healing progresses.
Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

www.drfechner.com

+1

Deep nasolabial folds after midface lift

Improvement of the nasolabial folds after a midfacelift depends on the technique used.  If done properly, one should see significant improvement in the folds after surgery which should last up to 10 years or so.  Make sure your surgeon is certified by the American Board of Plastic Surgery. Samer W. Cabbabe, M.D. Board - Certified Plastic Surgeon St. Louis Plastic Surgery Consultants
Samer W. Cabbabe, MD

Saint Louis Plastic Surgeon
+1

Nasolabial Folds After Mid-Facelift

No, this will not improve as you heal.  You may want to consider fillers or additional laser to that area, or a combination of both.  Talk to your surgeon.
Amy T. Bandy, DO

Newport Beach Plastic Surgeon

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