Your best option would be a mini facelift that would remove excess skin in a vector perpendicular to the nasolabial folds. A less invasive option is fat grafting to the area but filling the folds with fat grafts will soften them and not treat them as well as a facelift. Best wishes, Dr. T.
Thank you very much for sharing your concerns with us.
The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.
In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.
With this procedure you get a delicate nose, better harmonize with your other facial features.
Dr. Emmanuel Mallol Cotes.-
Injectable fillers work very well in filling out deep nasolabial folds. There are a number of temporary fillers which would give you an idea but a more permeant filler would be Bellafill. This is a filler that has tiny plastic beads in a collagen carried. Very few plastic surgeon actually use this more permeant filler but you can go on line and find one who does. A face lift would improve you neck and face and your nasolabial fold. While fat grafting will add a lot to the improvement of the aging face by filling in the areas of facial atrophy, it doesn't do much for the nasolabial fold.
Consider both filling and the face to restore volume and remove excess skin. You have lost a significant amount of midfacial volume. Bellafill or autologous fat transfer are your best options when addressing higher volumes. A facelift will restore your jawline, remove the jowls and address the neck laxity and bands in addition to your nasolabial folds. Nonsurgical options like Ulthera can help as well if you are not ready for a surgical procedure. Your trading in some of the dramatic results of a facelift for really having no down time. With all these options available, you're best bet is to consult with plastic surgeon to discuss your particular needs and find out what exactly is right for you.
You might be best with filler or fat grafting. A facelift may be reasonable to address other areas of your face as well. Best of luck.
The nonsurgical improvement for nasolabial folds involves placement of fillers in the office setting. They tend to last 4-9 months in that area. In our practice, the surgical improvement for nasolabial folds involves placement of fascia grafts harvested at the time of the facelift procedure and placement of these fascia graft through a tunnel directly underneath the nasolabial fold. This offers a permanent Improvement.
From the photo you have provided it appears that you would benefit from facelift/ neck lift in order to remove excess skin and tighten the neck muscle. That will stop the clock...Once you heal, injectable fillers can be added for maintenance purposes. Seek an experienced Board Certified PS for in person exam
Severe nasolabial folds options: #1. Non Surgical - fillers or fat grafting. #2 Minimal Surgical - Silhouette InstaLift with PRP+Fat grafts. #3. Surgical - Mid Face SMAS Lift or direct excision of Nasolabial Folds. #4. A combination of the first 3. Best to seek only in person evaluations.
There are several options to treat the nasolabial folds that you are referring to. Non-surgical options would consist of fillers in the folds to help efface them. Surgically, a midface lift can be performed either through and eyelid incision or a temporal hair incision. There are several techniques that differ by surgeon. Lastly, a facelift (rhytidectomy) would help address these folds as well as this will help elevate and suspend the cheek tissues. Fat grafting is commonly done with a facelift and can really improve the final result, and would likely be helpful in your case.
You would benefit from softening of the nasolabial folds. Surgically, a deep plane facelift will provide the best correction. Injectable fillers or fat grafting will improve the folds but would not address sagging of the facial or neck tissues.