Would a lower eyelid lift help deep nasolabial folds? (Photos)

Question

Hello, I have a huge problem with my nasolabial folds. Despite a deep plane facelift, nothing has changed for me. The wrinkles start on my nose and that's what bothers me the most. Would a lower eyelid lift help? If I hold my lower eyelid up, the wrinkle disappears. many thanks for your help

Arnold Almonte, DO · Answer

A cheek lift can be accomplished via a Lower Blepharoplasty incision, which can improve the nasolabial fold. A canthopexy is necessary to prevent a lower eyelid malposition ectropion. Seek an experienced surgeon and inquire about this specific procedure.

Nelson Lee Novick, MD · Answer

This kind of problem, as well as its quite easy solution, is absolutely not new. I have been writing about this for years already. Volume deficit in the upper outer cheeks is largely responsible for the prominence of the nasolabial folds (smile lines below). This is the reason that you see such significant improvement by simply holding your upper outer cheek area. The use of a robust HA lifting filler injected properly for the upper, outer cheeks would very likely give you the desired improvement. What's more, the filler treatment can be accomplished in the hands of an experienced, board certified cosmetic dermatologist filler injector in about a ten minute treatment session--typically with immediate, on-the-spot "Wow!" results, and engendering little to no significant downtime.  
Sorry about the prior expense, frustration and disappointment with the facelift surgery--but not at all surprised. Hope this helps going forward and best of luck.

Jaroslaw Tribull-Potapczuk, MD, PhD · Answer

Theoretically yes, it could help, but the lower lid allone can not successfully cope with the problem of "heavy cheeks", so that some unpleasant complications can happen afterwards (e.g. ectropium).To find a proper solution a personal consultation in the office is necessary.Best regardsDr. Tribull, Berlin, Germany

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