Would a lower facelift reduce the appearance of lines around my mouth? 35 y/o (photos)

Question

Hi, I'm 35 :) I have a bit of an overbite and (maybe as a result) my lower face is more lined than I would like. I'm also a size 6/8 so my face is quite thin...which maybe doesn't help? I was wondering if having a mini facelift would resolve the lines either side of my mouth?

Bora Ok, MD · Answer

Hi from İstanbul, thanks for your question. These lines are caused by muscle activity, and a facelift can improve their appearance by reducing excess skin in the area. While a mini facelift would help, combining it with a mid-facelift would provide more comprehensive and longer-lasting results. Best of luck to you!

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

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs.

Based on the photos you have submitted, it appears that there is a degree of acne scarring present, which can often be associated with changes in skin elasticity. These changes may have a more pronounced impact in someone who is slim, as reduced facial volume can make lines more noticeable.

For addressing the visibility of the lines lateral to the corners of the mouth, particularly when you smile, there are two main treatment options to consider: facelift surgery or CO2 laser resurfacing.

A lower facelift can help by reducing laxity in the perioral region. While the muscles around the mouth will continue to influence contours during smiling, the visibility of the lines around the corners of the mouth is likely to decrease as a result of the improved skin tension and contour achieved by the facelift.

CO2 laser treatment, on the other hand, focuses on resurfacing the skin to improve its texture and elasticity, which can also help reduce the visibility of lines in this area. This approach is less invasive but may be more suitable for addressing the texture rather than elasticity issues related to acne scarring.

I recommend discussing these options with a qualified specialist to determine which approach best suits your goals and skin characteristics.

Arif Eroglu, MD · Answer

Hello; It is not possible to correct the lines; which is located in the nasolabial and marionette areas; with a mini facelift procedure. Since you are young, I recommend for devices; such as Thermage FLX or filler treatments; such as PLA filler (Sculptra, Lanluma), Ca Hydroxyapatite (Radiesse); that increase for skin quality and firmness.

Gurkan Kayabasoglu, MD · Answer

Hello. These wrinkles have nothing to do with overbite. It is possible to achieve the result you want with a mini face lift procedure.

To get more information, you can reach my assistant Dila at this number +90 533 015 95 95 via WhatsApp and ask if you have any questions.

hope this helped.

Nelson Lee Novick, MD · Answer

Here's the good news. A low viscosity, cohesive, malleable HA filler can be used to treat these "parallel laugh lines" that appear with smiling. I have personally been treating this problem with the appropriate HA fillers in this quick and simple fashion for abut two decades with immediate gratifying results. Surgery is expensive, engenders significant downtime, and carries the risks for post-surgical infection, scarring, stretch scars and even the development of tram track stitch marks.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert before jumping into surgery.  Best of luck.

Connie Hiers, MD, FACS · Answer

No, the lower facelift will not remove all the lines. I would start with micro-needling combined with radiofrequency for tightening and smoothing those area. Sculptra injections could be added for improved volume and skin texture.