Lower Facelift or Veneers for Nasolabial Folds?

Question

I am thinking of getting a lower face lift and porcelain veneers. I have some nasolabial folds and mild sagging of jowls. I am told that veneers can help with the nasolabial folds.  Should I get the the lift first or the veneers first?

Steven J. Pearlman, MD, FACS · Answer

Dental veneers should have little effect on nasolabial folds. They certainly can make your mouth look better and may distract from other areas, but to treat nasolabial folds, you might require fillers or surgery. When treating nasolabial folds, I commonly place filler above and below them to make cheeks look more rounded and youthful. In actuality, facelifts are great for jowls and the neck but may have little effect on nasolabial folds.

Ira Shapira, DDS (in memoriam) · Answer

The deep nasolabial folds are secondary to poor support of the soft tissues of the face.While veneers can improve the look a neuromuscular reconstruction or Dental Face Lift can provide Dramatic results that also improve your physiologic health, breathing and sleep.The DNA Appliance can also orthopedically give you a similar result.Combining both techniques can give an exceptional results.  Supporting the soft tissues of the face give a healthier looking final result compared to surgery.  surgery and or filler, botox etc all work far better after establishing an ideal foundation but more often than not are not required.Ira L Shapira DDSDiplomate, American Board of Dental Sleep MedicineDiplomat, American Academy of Pain ManagementRegent and Fellow, International College of CranioMandibular OrthopedicsChair, American Alliance of TMD OrganizationsAmerican Academy of Cosmetic Dentistry

Richard P. Rand, MD, FACS (retired) · Answer

It would be very surprising to me that veneers could have any significant effect on nasolabial folds.  Fillers and facelifts are far more effective in minimizing these lines.

Lance Timmerman, DMD, MAGD - Account Suspended · Answer

Depending on the severity of the Nasolabial folds, you shouldn't expect a drastic change with veneers.  While veneers can have amazing effects, the soft tissue effects are more noticeable around the lips (slightly fuller, reduction in creases).  Even then they should be minor.
To have a truly drastic change would require the veneers to be very thick.  When people get a set of dentures the folds can be affected, as the material can extend up towards the nose.
Do the Facelift first, and perhaps dermal fillers.  Once that is done, veneers would complete the makeover for a fantastic new you!

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