I m 39 and I hate my nasolabial folds and marionette lines. Do I qualify for a facelift? (Photos)

Question

I'm 39 and I ihate my nasolabial folds as well as marrionate lines. Do I qualify for a surgical facelift or can I go for non surgical options like thread lift.

Ali Riza Öreroglu, MD · Answer

Considering your age and the appearance of your nasolabial folds and marionette lines, a surgical approach is the most effective solution. For cases like yours, I typically recommend a deep plane facelift and, if necessary, a neck lift. These techniques reposition the deeper facial tissues rather than just the skin, providing a more natural and long-lasting result.
Non-surgical options, such as a thread lift or fillers, can offer temporary improvement but are generally not sufficient for deep wrinkles and sagging when aiming for a significant and durable correction.

Liann Casey, MD · Answer

Hi there! Your nasolabial folds and marionette lines are mild, however they absolutely can be improved with a face lift. I advise you to consider if you dislike these facial contours enough that you would trade them for (minimally perceptible) scars. Thread lifts can make a very minimal, VERY temporary improvement, and are simply not cost effective. I have heard just a single patient tell me she was satisfied with a thread lift, and that is because she needed to look her absolute best for just one day, and the threads did satisfy that requirement. Beyond a few weeks, you will not see a difference and you will have spent thousands of dollars.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on what you’re describing — prominent nasolabial folds, marionette lines, and visible midface volume loss — I recommend filler as the most appropriate next step before considering any surgical or thread-based options. In many cases, these lines deepen not because the lines themselves need filling, but because the midface has deflated and descended, leaving the lower face looking heavier. Strategic, deep filler in the cheeks and midface support points can lift the tissue upward, which softens the nasolabial folds and marionette lines naturally without making you look puffy. Once that support is restored, only a very small amount of filler (if any) may be needed directly in the lines. Thread lifts tend to give only temporary, subtle results and can worsen tissue quality over time, and a full facelift would generally be reserved for more advanced skin laxity than volume loss alone.

Hasan Duygulu, MD · Answer

Hello . Actually you are a candidate for lifting procedure becasue of jawling which i see in photos . İnstead of facelift , fat grafting will improve your nasolabial folds , marionette lines and also jawling by filling prejawl sulcus .

I m 39 and I hate my nasolabial folds and marionette lines. Do I qualify for a facelift? (Photos)

Answers (4)

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