Nasolabial and marionette lines after facelift, necklift and fat grafting. What can I do to improve my appearance? (Photo)
Doctor Answers 15
Swelling after a facelift can make the folds look deeper temporarily. Volume can be added to this area after swelling subsides
Nasolabial folds and marionette lines may look prominent because of the depth relative to the adjacent height. The two elements of facial aging: sagging where there is loosening of skin and support tissue, which was addressed with your facelift procedure; the other part of the equation is volume loss, where bone, muscle, fat, skin and soft tissue resorbs. I’ve always observed in women that the lower third of the face has a significant amount of volume loss resulting in loss of lip definition, vertical lines, and mesolabial or marionette lines become deeper. There is indentation of the mandibular notch which makes the jowls looks more prominent.
You can probably have a strategy with your doctor that could both address volume loss, but wait until swelling has resolved. In my practice, I let my patient understand volume loss after a facelift by having them hold the mirror and I lift the face. Then, I point out to the patient that the mesolabial folds are improved but there is still some depth. I tell them that we evaluate because when we change the whole architecture of the face, the perception of the face changes. I think that there will be options that will help you look even younger than your age as you already expressed. So talk to your doctor and express your concerns and I’ll think you’ll find solutions that will be satisfactory to you. I hope that was helpful, I wish you the best of luck, and thank you for your question.
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Facelift and still with aged look.
Nasolabial fold is generated by facial expression and is poorly treated long-term by a facelift.
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See your plastic surgeon and compare your before photos with photos taken now -
you may see more improvement than you realize.
That and some more time for swelling may be all you need. Best wishes.
Nasolabial folds after facelift surgery
Nasolabial folds after a facelift
The first thing you need to do is wait!
Thanks for your question. The first thing that I would tell you is to wait. The final results of your facelift, neck lift, and fat grafting are a few months away. It takes up to 6 months for the face to settle in to it's new look. You did not mention where you had your fat grafts placed. If you didn't have the fat placed in your NLF and ML areas, then I would suggest that you speak to your surgeon about having fat placed in there at some point after 6 months. If you don't want the downtime of additional fat grafting, you could consider using injectable filler in those areas to smooth them out some more. You need to understand that your NLF and ML won't ever completely become smooth, even if you have a subcision procedure to cut under those areas prior to volume filling with fat or another substance.
My bigger concern is that it seems as if you don't have the support you need while you continue to improve after surgery. I would strongly suggest that you speak to your surgeon and his/her staff regarding how you are feeling. Don't try to recover alone.
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