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What Procedure Accomplishes This Kind of Upward Diagonal Correction? (photo)

asked 4 months ago by AdamConnor
Latest answer by Adam Bryce Weinfeld, MD
Question viewed 198 times
Tags: alternative, options, skin

I have read extensively about the MFLs and FLs but doctors and I do not think I'd really benefit from the "standard" techniques. I'm 32 but have extra skin in the mouth area that form "pouches" or folds. There is no fat to remove. If I pinch my skin up by my sideburn, this alleviates the problem entirely. So I wonder if a skin-only lift could be done, with the scar in this region (see image). I don't think I need subperiosteal dissection - and doubt I'd benefit from standard MFL techniques.

13 answers to What Procedure Accomplishes This Kind of Upward Diagonal Correction? (photo)

Excess Peri-oral Skin in Young Man

Incisions that you have drawn will not improve the excess skin adjacent to your mouth and will result in an unfavorable scar in front of your sideburns. A limited facelift with muscle elevation would help, but I would need to have a serious talk with you before doing this in a young man.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Facelift at 32

you likely are a little young for a facelift. However, i must provide an alternative opinion to that of some of the other surgeons. facelift incisions that go into the hairline above the ear are noted for distorting/vanishing the sideburn. this can create a very unusual look in some patients. It is more of an issue in women then men but still an issue in men. The lines you showed are reasonable in most patients (just inside the hairline is good too becuase hair... more

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon

www.setonplasticsurgery.com

Sagging cheek at age 32

Based on your photos it appears that you are a good candidate for facial fat grafting, if you have any excess body fat that could be used as a donor

Sam Naficy, MD
Seattle Facial Plastic Surgeon

What Procedure Accomplishes This Kind of Upward Diagonal Correction

I think a skin only cheek lift will accomplish what you desire, some call that a mini facelift.

Julio Garcia, MD
Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

Fold of skin around mouth in 32 year old male

Thank you for your question and the photos. It is doubtful that a facelift will adequately correct what you describe and show in your photos. One thing to consider is a combination of small cannula liposuction directly to the area with some adjacent fat transfer/fat grafting next to it to blend and camouflage the contour into a natural appearance. To be sure, see at least two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Pouches

I doubt that a skin only lift would help for any significant time, if at all. Trying to correct folds near the mouth by pulling the skin back near the ear doesn't do it. I think it's hard to give further advise without an examination to see how your skin and tissue really move. Good luck.

Ronald Schuster, MD
Baltimore Plastic Surgeon

www.drschuster.com

Facial Fold Reduction by Modified Facelift?

While diagrams and arrows would suggest that this area could be improved by a pull from the ear area, I doubt that will be effective. It is a long distance from the point of pull and this facial fold area. In addition, it would likely only be effective (even if it will) by causing potential sideburn hairline displacement moving it back right up against the ear. One other option to ponder is reduction of fullness in the fold area by fat removal with small cannula liposuction. I... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Fullness around the mouth and facelift

In general, the farther away a deformity is from the incision, the less effect any surgery will have on the problem. Your specific issue is in an area rarely directly lifted or tightened by any kind of facelift. The pull of the skin in any surgery progressively diminishes as the distance to the problem grows, despite what you see when you pinch your skin. You will be disappointed with the results in an extended surgery, and there is a high possibility of injury to the... more

Ricardo Izquierdo, MD
Chicago Plastic Surgeon

What Procedure Accomplishes This Kind of Upward Diagonal Correction?

At 32 years old, I wouldn't be so eager to jump into any type of Face Lift procedure. Thread and suture lifts are ineffective, IMHO and you're a bit too young to have the scars associated with any type of skin removal. Aesthetically, your cheeks are quite flat and shaping those with fillers like Perlane or Cheek Implants would create the proper aesthetic cheek shape. The jaw line could be more flared by using Radiesse to shape and augment the mandibular angle... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Excess tissue above the coeners of the mouth

The only thing that might work , in my opinion, would be direct excision of skin along the nasolabial crease line. I would only recommend this for an elderly patient as even trhe finest scar could be noticeable on young skin.

Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon

Excess skin around the mouth with early aging.

You can improve this with an incision inside the ear with a minilift and muscle tightening, but NOT with the incision in front of your sideburn!!! It will show.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

It is a scary world we live in.

I suspect that if you knock on enough doors, someone will accept you as a patient. My concern is that it will be very difficult to achieve what you are looking for. You might also be disappointed by surgery. Because the opportunity to achieve what you are looking for is small and the risk of being disappointed are relatively high, I consider what you are looking for to be a high risk surgery with a low pay off. It is hard to encourage you to do this. I do wonder... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Facelift techniques and patient age

Dear Adam, The incision pattern you have drawn is a common / known variant of facelift incisions, but it is normally not the first choice. First off, you are rather young and have minimal signs of facial aging to justify the risks / scars of a facelift. (I'd advise waiting.) Normally for a first facelift, incisions are designed in front of the ear and then go up into the hair directly above the ear. This minimizes the possible "visible" portions... more