Is there any way to reduce/diminish the thick folds of skin on either side of my nose? (Photo)

Question

I had some cosmetic surgery approximately 4 months ago (facelift). At that time, upon my request, the dr. said he could help that side of the nose issue by doing a minimal ultrasonic rhinoplasty. I'm happy with the nose itself, but am bothered by the "wings" and the lack of smoothness at the inner eye/nose/cheek junction. I see no difference and am hoping there is another solution.

Jason Emer, MD · Answer

thats a natural ligament some have that is visible, RF facials, morpheus treatments, and at home derma rolling ( see emeragecosmetics.com dermaroling package with daily skincare and weekly rolling treatment to tighten skin and pores).

As we age the skin sags there is  nothing  you can do that but try preventative  energy-based or thread-based  treatments or get a neck/facelift earlier in the aging process.  There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
 
Options include for skin tightening :
1. thermage radiofrequency to heat skin and tighten it over time and prevent the aging process
2. ultherapy highintensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process
3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production
4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging
5. btl exilis ultra, venus legacy, thermi250 , or inmode forma/contoura  for constant collagen stimulation monthly with facials
6. facelift/necklift with fat grafting/fillers if you need a big improvement
7. ThermiRF or J plasma /Renuvion or Inmode FaceTite   internal heating and tightening to long term internal heating and tighting with or without surgery
8. Platysmaplasty to tighten the muscles of the neck long term and create contour
9. Facial implants or fillers to contour the jawline and chin to improve the apperance of the nec k
10. Fractora/Morphenus8 or Intensif microneedling RF for improve superficial tightening, neck and chest wrinkling and crepe skin 
You need to see an expert in facial sculpting and age prevention.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Sam Speron, MD, FACS · Answer

Finding a permanent solution for lines around the nose, mouth and sagging facial skin is challenging. There are many options such as Botox, filler injections, Chemical peels, laser treatments (Non-ablative as well as resurfacing) with little to no down time. It really depends on what you're specifically interested in and they're all sorts of combinations. It really depends on your skin, sun exposure and genetics. It is best to talk to your surgeon because everybody has different techniques and options with various recovery times.

I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.

Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider and laser is the most dramatic result usually.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Is there any way to reduce/diminish the thick folds of skin on either side of my nose? (Photo)

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