Nasol Labial Folds, What Are My Options?
asked 10 months ago by damess in phila
Latest answer by Steven Wallach, MD
Question viewed 373 times
Tags: marionette lines, nasolabial folds, male, options
ok docs i'm all yours.After weight loss (150 lbs and maintaining yeah me) i'm left with this mess i know the turkey neck needs a knife,But what would you (yes you) suggest for the 1, nasal lab folds 2 eyes 3 cheeks? ( I ask cause I was told that they need attention upper cheeks) had one consult and was given a fat graft consult,not sure about that rout.So i'm looking towards injectables or any other recomendations. details 42,and filled face out very nicely thanx.
6 answers to Nasol Labial Folds, What Are My Options?
+1
Facial rejuvenation
Fat or absorbable facial fillers are an option to fill out your face a bit. With weight loss, deflation occurs. Sagging occurs as well, and you may need a facelift as well. An exam would be important to go over the best plan. Good Luck.
+1
Direct excision of nasolabial folds
Direct excsion of nasolabial folds, especially in men, will give a great result. I would resurface the skin at the same time. It is a local procedure, can be done in office. You will spend too much money in fllers, and will not help with the loose skin you have.
Adil Ceydeli, MD
Panama City Plastic Surgeon
Panama City Plastic Surgeon
+1
Weight loss & facial aging
Dear Damess,
Aging usually involves both "descent" and "deflation". Descent is best improved with lifting (surgical) while deflation is best improved with inflation (ie, adding volume). Another way of looking at this is that concavities (depressions) are associated with aging and convexities (roundness) are associated with youth. When there has been significant weight loss, usually both descent and deflation are present. So for starters, adding...
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Donn R. Chatham, MD
Louisville Facial Plastic Surgeon
Louisville Facial Plastic Surgeon
+1
Injectables for nasolabial folds
After looking at your photos, It seems you would benefit from some volume enhancements using injectable fillers. While you can have hyaluronic acid based products injected like Restylane and Juvederm, I would also recommend collagen stimulatory product such as sculptra. I think a combination of the two would be ideal to give long lasting natural results with some immediate efficacy.
Ritu Saini, MD
New York Dermatologic Surgeon
New York Dermatologic Surgeon
+1
Facelift after massive weight loss
Your posted photos she excess neck skin, hollowed drawn cheeks, deep nasolabial folds and downward shifting of the soft tissue under the cheek skin. There do not seem to be any marionette lines or jowls. It is unclear how much if any excess cheek skin is present. I can understand that given your history of weight loss you would be reticent to have any fat or anything else injected into your face.
You understand that the neck skin will have to be surgically removed. This is best done via...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
You may consider an Injectable Filler treatment to add volume to your midface.
I read your concerns and reviewed your photos. After your weight loss, you have lost a lot of volume in your midface. Fat grafting is an option to consider. In my practice, Silikon-1000, an off-label filler for permanent results, may be utilized to restore lost facial volume. You may require several treatments for complete correction. There is typically no downtime.
I hope this is helpful for you.
Regards from NJ.
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