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Options for Improving Fat Above Nasolabial Folds?

asked 2 years ago by Tommy
Latest answer by Michael Law, MD
Question viewed 1,014 times
Tags: age 25-34, nasolabial folds, male, weight loss, fat pads, sunken

I'm 25, I've lost over 25 kg in the last year. My cheeks have sunken but the fat above the nasolabial fold has remained giving me an older, tired, droopy look, especially in the morning. I especially don't like the fat above my nasolabial fold. What are my best and safest options to correct this one way or another? Should I do something about the cheeks or fat? For long-term results, should I opt for surgical and/or non surgical procedures? I'd prefer something thats more permanent instead of temporary fillers. Thank you.

P.S. Sorry about the editing on the pic, I was a bit bored.

8 answers to Options for Improving Fat Above Nasolabial Folds?

+3

Nasolabial folds after large weight loss

The nasolabial folds after large weight loss result from a deflation effect. They are best treated by augmentation of the cheeks and nasolabial areas themselves. In our practice we prefer untraumatized autologous fat-fascial grafts for this purpose. In some patients, direct excision of the nasolabial folds can be performed. However this is seldom performed due to visible scarring.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon

www.drbrent.com

+2

How to address fat above nasolabial folds

The best option for excess fat in the flat area of the cheek and nasolabial area is to put cheek implants in. These are wafers of silicone and come in four different sizes and can be placed in through the intraorbital route and from the bottom side lifted outward to volumetrically improve the cheeks. Cheek implants can be removed if the patient does not like them or later prefers a different size depending upon the patient’s needs, wishes, and concerns.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+2

Treatment of excess cheek skin

It is likely that the significant weight loss you describe has contributed to the problem. The photo clearly shows what is bothering you. When you were heavier the cheek skin envelope expanded to contain the larger amount of underlying fat. After the weight loss there is less fat present but the skin has not shrunk down to adjust for this. The answer then is to remove some skin and/or add some bulk under it. For a 25-year-old man, especially if he is single, I would be reluctant to cut... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+2

Facial deflation

I assume the weight loss was a healthy one for you. It is nit uncommon to note deflation of the facial soft tissues as you lose weight. This causes the hanging of the skin and the contour irregularities your see in the photos. One test I have patients do is to do a half-smile and see if this doesn't round the cheek area out sufficiently. If it does, I might recommend a particular midface lift from inside the mouth.
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Facial enhancement

A wide variety of facial implants are currently available for the enhancement of the skeletal elements of facial aesthetics. The most commonly used facial implants are used to enhance the profile of the chin and the cheeks. Facial implants very widely not only in shape and style, but also in terms of the materials from which they are fabricated. My preference is to use structural fat grafting, as much as possible, to enhance facial features. In many cases, the need for a solid implant... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon
+1

Facial atrophy

It is hard to tell from your photo, but it appears that you have some facial soft tissue atrophy. Sometimes facial fillers can help soften this appearance.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Deflated cheeks following weight loss

I would address this with a combination approach. Fillers or Autologous fat to the cheek and Nasolabial folc could help as the least invasive procedure. Alternatively a cheek lift with implants would likely give you the longest lasting result but may carry the highest risk
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

The treatment for facial depression of the face after weight loss.

It appears from the photo which is sub-optimal that a combination of cheek lift with cheek implants would be best. See an experienced facial surgeon and he can examine the face and tell you what is best.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

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