Will a facelift help my nasolabial folds and can my nose be fixed? (Photos)

Question

I am interested in getting a facelift, unsure about the best type/ option. I am very unhappy with my nasolabial folds and jowls. I would also like my nose repaired. I had surgery done in 2006 for a deviated septum, but was injured after the surgery, which￼ caused some curving of my septum tissue (see picture). I’m concerned about using only filler for the folds. I want something that looks a little bit more natural. Perhaps that transfer is a better alternative?

Phuc Dinh, MD · Answer

Hi, it's Dr.Phuc Dinh
From your concerns and photos, you are addressing two different areas, and both can be treated effectively, but with different approaches.
1. Will a facelift help your nasolabial folds?Yes, but it’s important to understand how.A properly performed facelift (especially a deep plane facelift) can:-Improve the jawline and neck contour-Lift the midface (cheek area)-Soften nasolabial folds by repositioning the deeper tissuesHowever:-A facelift does not completely erase folds, especially if there is some volume loss-For the most natural result, I often combine it with fat transfer, which helps restore softness without the “overfilled” look of fillersSo in your case, a facelift + fat transfer would give a more balanced and natural improvement than filler alone.
2. What about your nose? Yes, your nose can absolutely be addressed as well.Based on your history (previous septum surgery and curvature), this would likely be a revision rhinoplasty, which can:-Correct the septal deviation or curvature-Improve both function and appearance
3. Can these be done together?In many cases, yes, facelift, fat transfer, and rhinoplasty can be combined safely, depending on your overall health and surgical plan.Final ThoughtFacelift, improves structure (jawline, neck, midface, folds)Fat transfer, restores volume naturallyRhinoplasty, corrects the nose shape and structureA combined approach often gives the most harmonious and long-lasting result.
Hope it helps
Dr.Phuc DinhBoard-Certified Plastic Surgeon

Ali Riza Öreroglu, MD · Answer

A deep plane facelift is a highly effective option for improving the jowls and softening the nasolabial folds, as it repositions the deeper facial structures to achieve more natural and long-lasting results. However, a facelift alone may not completely eliminate these folds; for optimal softening and a more natural appearance, I often recommend combining it with fat injection (fat transfer) or fat grafting.
If there is noticeable laxity or banding in the neck area, an anterior neck lift can further enhance the jawline and neck contour.
Regarding your nasal concerns, given your history of prior surgery and subsequent trauma, a revision rhinoplasty may be necessary to correct the curvature and improve both function and aesthetics.
I typically perform facelift and rhinoplasty as separate procedures. The most appropriate treatment plan can be determined after a detailed physical examination, where I can better assess your anatomy and expectations.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs. My impression is that a combination of deep plane facelift and neck lift could address the characteristics of the lower face (nasolabial lines, labial mandibular lines), and the contour of the neck in a balanced approach. It is possible also to address the alignment and shape of the nose, but it will add to the time of the surgery, and sometimes it is preferable to separate interventions to have an easier and quicker experience for the recovery. If you are not already using sunblock on a daily basis, it is an important part of maintaining elasticity in the facial and neck skin, and I would recommend making it part of your daily routine, irrespective of the weather.

Pasha Mostofi, MD, DMD · Answer

Thank you for sharing your photos, they’re very helpful, and you’re approaching this in a thoughtful way by prioritizing a natural result rather than relying on filler alone. Based on what I see, you have early-to-moderate jowling along the jawline and some descent of the midface, which is contributing to your nasolabial folds. In cases like yours, the issue is primarily structural (tissue descent) rather than just volume loss, so filler alone is usually not the best solution and can sometimes create a heavier or overfilled appearance without addressing the jowls. The most natural and effective approach is typically a facelift, such as a deep plane or SMAS technique, which repositions the underlying tissues, improves the jawline, and softens the folds by lifting the cheeks. Fat transfer can be a helpful addition if used conservatively to restore subtle volume, but it works best after the tissues have been lifted rather than as a substitute for lifting. Regarding your nose, your history suggests some residual asymmetry after prior septal surgery and trauma, which would likely require a revision rhinoplasty; this is a separate, more complex procedure that can sometimes be combined with a facelift depending on the surgical plan. Overall, for someone with your concerns, the most natural result comes from addressing the underlying descent first with a facelift and then refining with small amounts of fat grafting if needed, rather than relying on filler alone.

Zoran Potparic, MD · Answer

These are, unfortunately very limited photos for good evaluation. However, it appears that you may be a good candidate for lower face/neck lift and revision rhinoplasty. In person consultation with a board certified plastic surgeon with good reputation in these procedures is recommended. Good luck.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I have been in practice for over 30 years.  You are in excellent candidate for a facelift as well as a revisionary rhinoplasty and fat transplantation to the nasolabial folds and marionette lines.  I often combined facelifting and rhinoplasty. You should be able to have an excellent result.  Best wishes to you.

Gary M. Horndeski, MD · Answer

You may benefit from a rhinoplasty to refine the tip of the nose and correct the dorsal irregularities. You would also benefit from a facelift and browlift. You may also benefit from an eccentric lip lift, not a bullhorn lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Kadir Berat Oyur, MD · Answer

Thank you for your question.
Based on your concerns, you would likely be a suitable candidate for a facelift with neck lift combined with fat grafting, which can improve jowls, soften nasolabial folds, and enhance the neck for a natural, long-lasting result. For your nose, a revision rhinoplasty may be considered to address the curvature.
A detailed evaluation can confirm the best approach for your goals.
I hope this helps.

Jeffrey M. Darrow, MD · Answer

For best overall result and longevity of results, some treatment of the SMAS layer of your face needs to be done. There has never been any scientific evidence that has proven that among the different options for treating the SMAS:  high SMAS, extended SMAS, SMAS plication, SMAS Delta lift, Deep Plane, etc, gives patients a better result, or a longer lasting result.  Moving the SMAS vertically/posteriorly redistributes tissues to their correct, youthful position and improves facial shape and contour.  The skin can then be re-draped over this improved facial shape without much tension on the skin. If you wish to avoid facial fillers, some micro grafting with fat may offer a more permanent solution for the folds beside your nose. It has the benefit of being a permanent solution if the fat is retained and has potential downsides of contour irregularities due to loss of some of the fat. Correction of your nasal septum could also be achieved at the same time.

Darryl J. Blinski, MD · Answer

Based on your series of nicely post of photos, the recommendations would be a secondary nasal plasty with septoplasty, a hybrid net face and neck lift with muscle repair possible Endo lift laser combination. Expect fees to arrange from $15-$25,000. Best of virtual consult with.

Will a facelift help my nasolabial folds and can my nose be fixed? (Photos)

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