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

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.

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.

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

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.

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.

Dear elleirum,

Thanks for sharing your photos. Your face does not appear thin as you describe, but there is evidence of early aging in your skin laxity. After the age of 30, collagen restoration by the body has started to diminish by 1% per year. In patients of northern European heritage with thinner dermis, this relates to the early folds of the middle face, ie., nasojugal folds, nasolabial folds and lateral commissures of the lateral mouth and marionette folds. As the skin further descends, jowls and loss in jawline definition and finally laxity under the chin with skin folds also develop. These neck skin folds are different than the underlying medial platysmal bands; although you may develop both. Please consider:
• Consult with a Board Certified Plastic Surgeon with talents in non-surgical and minimally invasive rejuvenation techniques for proper examination and review of options.
o Your consideration of a “midface lift” would not be relevant or helpful at this time but the idea is valid.
o Discuss the use of PDO Thread Lift suture suspension, a minimally invasive approach to lift the cheeks and neck bands from the (vertical) midface upward.
• Consider deep fillers in the high cheekbone area (not visualized in your photos) to fill and lift the middle area of the cheeks and nasolabial folds
• Dermal fillers for the nasolabial fold lines
• Retinoid Skin Health care to exfoliate, reduce rosacea and large pores and tighten the skin
• Sculptra to firm and tighten skin of the face and neck
This seems like a lot but a good management plan will rejuvenate, lift and firm the early laxity you are concerned about. All the best!