Deep nasolabial folds and platysma muscles - can this be fixed with some kind of mid face lift? (Photo)

Question

Im 34 year old and i have a very thin face. I always was unlucky to have deepnasolabial folds, and as i age they only become deeper. Last year i had jaw surgery, my overbite was corrected by placing my underjaw 5/6 mm forward. Since then i started to notice my muscles in my neck are more active.Now after a year i have a little turkeyneck. I want to improve both problem area's but i do not want to use botox and fillers. Is it possible to fix my problems with some kind of midfacelift?

Zoran Potparic, MD · Answer

For NLF correction it is best to use fillers; for a problem you have, 1 ml of HG filler may be sufficient. Anterior neck bands in such an early age are best treated with Botox injection. Hope this helps.

Callum Faris, MD · Answer

You are beginning to develop platysmal bands. Many people with heavier necks these early bands are concealed under a fat layer only becoming more promient when they are larger. Botox is a nonsurgical option. Surgical option would be include a submental neck lift with platysmaplasty. The platysmal muscle is repaired with sutures.
A midface lift would not address this area.

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Elleirum,

Thankyou for providing pictures as reference. As per your post I would recommend a scarless endoscopic facelift as well as a necklift. This will help you to achieve a tightened look for your face and neck by vertical facelift technique. Hence you can get the lines under your neck taken care of. Futhermore, fat injections would be preferred for your case into the smile lines and in the neck as well to fill the lack of volume and give a more natural apperance.

Best Regards,
TAS TEAM

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Since you aren’t interested in Botox or fillers, you may want to consider RF microneedling treatments to increase collagen production and restore the skin’s elasticity.
RF microneedling creates micro-injuries in the dermal tissue and heats the lower area, encouraging the body to produce more collagen. The results of this treatment option can last for up to five years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and determine the best approach.

Ronald Schuster, MD · Answer

nasolabial folds and neck bands are very common complaints tat facelift surgeons see all of the time. The bands you see in the neck are from the edges of the platysma muscle. These need to be either sewn together in the front, pulled from the sides or both. Botox might help a little as a non-surgical option. Your nasolabial folds might need surgery, either a facelift, less likely a midface lift, or both. You really need a exam to figure out how your "face" moves. good luck.

Deep nasolabial folds and platysma muscles - can this be fixed with some kind of mid face lift? (Photo)

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Answer: How you may benefit from RF microneedling

Answer: How you may benefit from RF microneedling

Answer: Nasolabial fold and neck bands

Answer: Nasolabial fold and neck bands

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Deep nasolabial folds and platysma muscles - can this be fixed with some kind of mid face lift? (Photo)

Answers (6)

Answer: How you may benefit from RF microneedling

Answer: How you may benefit from RF microneedling

Answer: Nasolabial fold and neck bands

Answer: Nasolabial fold and neck bands

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Recommended reading

Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.