What procedure is best to fix facial lines between nose and mouth ?

Question

I heard that a mini lift may not completely address this area. What would you recommend for lines from nose to side of mouth ?

James Bonaparte, MD, MSc, FRCSC · Answer

Hi there, a bit late but I wanted to add my opinion to this. You are referring to what us doctors call the "nasolabial folds."  There really are two options for treating this. 1) Fillers - without a doubt, the most common, safest and effective way to treat this area. Its probably the most common area people get fillers. It can be very effective. Things like Juvederm work great here. 2) A Midface lift - People often get confused with what a Facelift is, but a Facelift will NOT fix this area. You need a much more complicated surgical procedure called a Midface Lift to alter this area of the face. This is a complicated surgery and not all surgeons do this procedure. James P. Bonaparte, MD, MSc, FRCSCHead and Neck Surgerypracticing in Facial Plastic and Reconstructive SurgeryAssistant Professor, University of OttawaOttawa, Ontario, Canada

Jonathan Kulbersh, MD · Answer

Thank you for your question. There are both surgical and non-surgical approaches to addressing nasolabial folds. Injectable hyaluronic acid dermal fillers can add volume to this area to reduce the appearance of the lines you’re referring to. 
A facelift procedure can address deep nasolabial folds while also angulating a droopy neckline, removing excess fat and skin, and tightening the skin as necessary for each patient. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can conduct a thorough physical examination and determine the best approach for you.

Jason Emer, MD · Answer

​Fillers such as Restylane Silk, Belotero, or Juvederm can work well to treat lines around the mouth, but the best first option is laser resurfacing or deep peels to induce collagen production. Superficial radiofrequency devices and microneedling can help as well and are less invasive. I suggest going to an experienced cosmetic dermatologist with expertise in lasers and fillers. Best, Dr. Emer​

David W. Rodwell III, MD · Answer

Most people are quick to realize that there is an art to good plastic surgery.  That's true from a technical standpoint. However, you should never underestimate the importance of the art of being able to closely analyze a face, listen to a patient, and make an accurate diagnosis of what is truly causing those concerns.In your case the diagnosis is key.  It's not just about the fold. You have to analyze what's going on around that area (jowls, lips, skin texture, etc) and then understand the limitations of various options for techniques to improve the area.I assume the lines you refer to are the nasolabial folds.  The appearance in this area can be improved with the use if fillers or with a facelift. In many cases a combination is appropriate.  A facelift should not really be designed to completely iron out the nasolabial folds -- that often leads to an unnatural "done" look.You should also know that there are some facelift techniques which can actually deepen the nasolabial fold.There's no substitute for a good in person examination, so find a board certified surgeon in your area to meet with.

Robert T. Buchanan, MD (retired) · Answer

You appear to be talking about Nasolabial Folds. These can be treated in a number of ways from injection to surgery. Injection can be done into the folds, but is usually best done higher in the malar area. The most effective surgical method is a mid face lift. This can be done during blepharoplasty or facelift or as an independent procedure. You need to see a plastic surgeon who specializes in facial rejuvenation. This will determine what your problem is and then what is best to do about it.

Francis R. Palmer, III, MD (retired) · Answer

While a facelift will tighten the face; tighten the muscle and remove the jowls, it will not completely remove the lines from your nose to your mouth.  If you pulled the face that tight, to remove the lines, you would look odd.  Having fillers (Perlane; Juvederm, etc) will fill those folds nicely.

What procedure is best to fix facial lines between nose and mouth ?

Answers (6)

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