Which technique would address nasolabial folds and fully tighten the cheeks? (photos)

Question

Hi, these shadows/laxity around my cheek-nose junction have bothered me since puberty. I have had two mini midface SMAS facelifts, nasolabial filler, a fat graft to the area, and a dissolvable barbed threadlift, but nothing so far has smoothed them. Is there any surgery, or technique that can specifically address this and completely smooth out the area?

Jacob Tower, MD · Answer

Hello, hope you are well. A deep plane facelift involves release of the midfacial ligaments that can prevent adequate lifting in other techniques. In this way, the midface can be mobilized all the way to the nasolabial fold and lifted more effectively. Your photos provide a limited view of the face, but this would be something to consider.

Best,
Dr. Tower

Ajaya Kashyap, MD · Answer

Thank you for your query. You seem to have undergone several treatments that are available for improvement of Nasolabial folds and the folds appear fairly mild. I would not advise any further treatment at this stage. Please wait for some time before you seek further treatments. All the best!

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment after plastic surgery procedures, we need to see a complete set of proper before and after pictures.
To make a proper assessment, we also need to see full facial pictures.
Facial aesthetics are primarily determined by facial bone structure.
It is facial skeletal structure that gives each person their unique individual appearance, whether desirable or not so much.
 What may appear as soft tissue issues are usually based on underlying skeletal structure and often due to an inadequate, skeletal foundation to support the soft tissues.
This is why it’s important to see the full face.
Issues around the midface are therefore generally related to issues with the maxilla and problems related to the lower, 1/3 of the face are usually related to the mandible.
Individuals that have a Mandible that is small in relationship to their maxilla are prone to develop, premature jowls, Loss of jawline, definition, premature, nasal, labial folds, and other soft tissue issues often associated with aging.
A SMAS facelift will often deepen the nasolabial fold. When pulling on the smas during the procedure the Nasal lab billfold is deepened.
Patients , often think a facelift will mimic pulling on the skin which lessens The nasolabial fold, but this is not what happens during the facelift surgery.
Fillers are the best treatment and it appears that you have done that.
From the pictures you’ve included, you don’t appear to have a deep folds.
I recommend you accept the outcome for what it is and stop having more intervention other than maintenance with fillers.
The amount of surgery and procedures you’ve had to date seem excessive and poorly indicated.
Best,
Mats Hagstrom MD

Which technique would address nasolabial folds and fully tighten the cheeks? (photos)

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Which technique would address nasolabial folds and fully tighten the cheeks? (photos)

Answers (3)

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Everything you need to know about Facelift

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