I am 43 and researching facelifts. My biggest concern is the marionette lines that have formed due to sagging skin/cheeks. When I lift my cheek and the marionette fold goes away, I feel satisfied with this look. When looking at facelift before and afters, I notice that the jowls always look good and pulled back, but sometimes there seems to be no improvement on marionette folds. Why might this be?
March 5, 2023
Answer: Facial fold correction... When you are lifting your cheek, you are pulling on the skin to make the fold go away. Facelift surgery does not tighten skin - it tightens the deeper tissue. But the skin will keep it's original tension in a well performed lift so as to not look "windblown." The facial folds can be improved a little bit, but they exist primarily from losing fatty tissue, so either filler a fat transfer is done at the same time as facelift for the best results. Be sure to find a facial specialist for consultation.
Helpful 1 person found this helpful
March 5, 2023
Answer: Facial fold correction... When you are lifting your cheek, you are pulling on the skin to make the fold go away. Facelift surgery does not tighten skin - it tightens the deeper tissue. But the skin will keep it's original tension in a well performed lift so as to not look "windblown." The facial folds can be improved a little bit, but they exist primarily from losing fatty tissue, so either filler a fat transfer is done at the same time as facelift for the best results. Be sure to find a facial specialist for consultation.
Helpful 1 person found this helpful
March 5, 2023
Answer: The marionette line can be corrected with a facelift The marionette line can be completely corrected with advanced facelift techniques and is the preferred approach as the chronic treatment of this area with fillers leads to a wide distorted appearance of the lower face.Specifically, the facelift dissection must be carried across the marionette line and usually the depressor anguli oris (DAO) needs to be released as this muscle causes the downturn of the marionette frown. These are not standard surgical techniques however they are extremely effective and long lasting. I have been performing this approach for the past 7 years and found it to be safe with very high patient satisfaction.
Helpful 1 person found this helpful
March 5, 2023
Answer: The marionette line can be corrected with a facelift The marionette line can be completely corrected with advanced facelift techniques and is the preferred approach as the chronic treatment of this area with fillers leads to a wide distorted appearance of the lower face.Specifically, the facelift dissection must be carried across the marionette line and usually the depressor anguli oris (DAO) needs to be released as this muscle causes the downturn of the marionette frown. These are not standard surgical techniques however they are extremely effective and long lasting. I have been performing this approach for the past 7 years and found it to be safe with very high patient satisfaction.
Helpful 1 person found this helpful
