Nasolabial and marionette lines after facelift, necklift and fat grafting. What can I do to improve my appearance? (Photo)

I think your results are great, and it is still early. I would wait before trying to address those areas.  One of the most common misconceptions about face / neck lifting surgery that is that the nasolabial folds and marionette lines will disappear.  In most instances they get a little softer, but never fully disappear. In fact it is very natural to have them, and the dissection for a facelift usually doesn't extend that far towards the center of the face.   In my experience, the best and most consistent way to address them is by injectable fillers.

A thorough facelift disassembles the nasolabial fold. However this is a feature that is generated by facial expression and will emerge as time passes. Postoperative recurrence is treated by fillers.

Thank you for the photo.  You do still look swollen but from what can be seen in the photo your results look good.  The folds look softened and natural and the fullness is a more youthful appearance.  Time will improve the result as the swelling goes down and it is hard to predict this early how it will look.  The face should have some contour and definition to it to produce a natural youthful look.  Overfilling or a flattened look gives the face an unnatural appearance.

Hello topaz1991,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.Good luck,Dr. Shah

Your photo doesn't give a full view but what I can see, it appears your skin quality is very good and your lines are not very deep .  Everyone, even after a facelift, will have nasolabial folds as they are caused by muscle insertions into the skin. As you are only 2 months after surgery and you still have several months to go to see the final result, ask your plastic surgeon whether some fillers would help add volume to the areas you are concerned about, and fill these lines.

The photo you posted definitely looks like post-operative edema and time will be very good to you. I see depth in your nasolabial area and suspect some of that was present prior to surgery. Shortly, you can consider fillers to the area .Be patient and I think you will do well and continue to look younger than your stated age.

Hello and thank you for this question.  It would be helpful to see a before surgery picture.  However, healing after that much surgery takes months.  You should wait a minimum 6 months to see the results.  Using dermal fillers to the nasolabial lines and marionette lines can be done while you heal.  Talk to your doctor about your concerns.  

Facelift and still with aged look. You need to wait at least 6 months to let the swelling recede and in the mean time u can have fillers.

A pre-op picture would -be helpful here.  You do not have what I would call deep lines. Your skin looks nice and smooth, and you have a NLF present up by the nose.  As your swelling continues to resolve this may decrease.  You can fill the fold, but this will make your face look very round and full.  You will be healing for at least 6 months so give it more time.   

It is difficult to tell from your photo, but it appears that your nasolabial folds and marionette lines are very reasonable.  I realize that is easy to say, as I did not see them before the procedure.  However,  nasolabial lines occur in everyone, even babies have them.  A face without them often looks very unnatural.  It is important to communicate your concerns to you Plastic Surgeon.