Wrinkle Treatment: Q&AAsk a Question
4 Doctor Answers | Asked by chris76 in UK
Nasolabial folds do not improve with time. If you are considered about these vertical lines around your mouth and nose, there is one option that you should seriously consider: Facial Fillers Although surgical excision has been described, it is not the first option to consider in addressing this area. The quality and visibilty of the scar is unpredictable, and although well described, the procedure should not be advocated until less invasive options are explored.
Thanks for your question. In my practice I always take time to discuss what my patients are truly concerned about. From your question, clearly there are questions in your mind about the balance of your cheeks, nose and the area that divides the two, your nasolabial folds. It can always be a bit challenging when a patient states "I want a certain result but this is the technique you need to use to achieve it." Placing significant unhidden scars on the face needs to be...
Excision of the nasolabial folds can be done in extreme cases, but is not offered for the majority of patients. First, NL folds are normal. Not having them is bizarre. It doesn't mean that they should not be shallow and/or softened in any way. This can be accomplished with a variety of fillers. Only in extreme cases in older patients with very deep folds should they be excised. Although in the majority of cases the scars heal well, they do leave permanent scars.
Chris, It is possible to have your nasolabial crease excised. However, before undergoing such an invasive procedure, please make sure that you look over all your options. While most surgeons do not perform direct excision, very nice results can be obtained. If you include a photograph with your question, we may be able to give you more specific advice. David Shafer, MD