Mid 40s & visible NL folds & marionette lines - do I need a facelift or just fat transfer or fillers? (Photos)

October 28, 2024
Asked By:Fierce2456 in Los Angeles, California

I am in my mid 40s and have visible nasalabial folds and marionette lines. I've been to few facelift consults and ended up with conflicting opinions. Some surgeons say I won't need a facelift for 5+ years, while others say I'm a good candidate now. Do I need a facelift or can I just fix the nasalabial folds and marionette lines with either fillers or fat transfer? Is adding fat to the lower face a bad idea because there will be more volume to sag in the future?

5 photos

Answers (13)

From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
November 2, 2024

Answer: Facelift vs fillers/fat

1 person found this helpful
John Reilly, MD, FACSBoard Certified Plastic Surgeon
VOTED MOST HELPFUL
November 2, 2024

Answer: Facelift vs fillers/fat

1 person found this helpful
John Reilly, MD, FACSBoard Certified Plastic Surgeon
MOST RECENT
May 5, 2025

Answer: Facelift

John Michael Thomassen, MDBoard Certified Plastic Surgeon
MOST RECENT
May 5, 2025

Answer: Facelift

John Michael Thomassen, MDBoard Certified Plastic Surgeon
March 18, 2025

Answer: Possible mini lift vs fillers

Matthew Tamplen, MDBoard Certified Facial Plastic Surgeon
March 18, 2025

Answer: Possible mini lift vs fillers

Matthew Tamplen, MDBoard Certified Facial Plastic Surgeon

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December 20, 2024

Answer: A mini facelift is a less invasive facelift technique performed with smaller incisions.

December 20, 2024

Answer: A mini facelift is a less invasive facelift technique performed with smaller incisions.

December 24, 2024

Answer: Mini Facelift possible with submental neck procedure

Brendan Alleyne, MD, FACSBoard Certified Plastic Surgeon
December 24, 2024

Answer: Mini Facelift possible with submental neck procedure

Brendan Alleyne, MD, FACSBoard Certified Plastic Surgeon

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