Marionette lines and nasolabial folds are often softened but they do not completely disappear after a facelift. Fillers or fat can help a bit.
aquafinastyle, find a surgeon that knows how to manipulate the fat layers of the midface using techniques that I've published called the "malar pad lift" and "SOOF lift blepharoplasty". Search these terms off the Internet and ask if your surgeon knows how to perform them or you will not be happy with the results in your midface in my opinion. Good luck!
Since you already had a mini-facelift, fat transfer may be your best option. Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed. Be sure to consult with a board certified plastic surgeon. Good luck!
Soft tissue loss post lift
From your description it may be possible to do some fat grafting to these areas to fill them up.they are not always easy to correct.
A minimal facelift may tighten your facial skin, but is inadequate to address the problems you are concerned with. The wrap around corner of mouth lift, preferably with division of the depressor anguli oris muscle is a valuable procedure that can be easily performed with local anesthesia. Scarring is typically minimal, but as with any surgical procedure does exist. Although Botox is effective, diffusion into the depressor labii inferioris may alter lower teeth show when smiling as well as being temporary. Augmentation of the inferior pyriform aperture region either with filler or fat is effective is effacement of the nasolabial fold. Regards, Dr. Joseph Kiener
Facelift with correct ligament or mid face lift?
Becuase the facial muscles pull on the corner of the mouth the nasal labial folds always return after a facelift. Botox injection into the DAO muscle (Depressor Anguli Oris) may help reduce the marionette line.
Happy with facelift but continue to have persistent drooping corners of the mouth and nasolabial folds
I find these areas can be improved with filler, not giving you an unnatural result.
Consider these office based procedures. If you don't find benefit you may find a Specialist who offers a revisional surgery with or without midface lifting.
Continue to seek advice.
Face lift to raise corner of mouth
Thank you for asking about your face lift.
- In most cases, the face lift will not lift the corner of the mouth.
- It may or may not soften the nasolabial fold and marionette lines.
- It will not alter the lower lids.
- Without a photo and knowing when your mini-lift was done and what technique is used, it is hard to give you specific advice.
Always see a Board
Certified Plastic Surgeon.
Best wishes - Elizabeth
Morgan MD PHD FACS