Cosmetic Surgery > Face > Nasolabial Folds
The nasolabial folds are located between the nose and the cheeks, then extend to the mouth corners as marionette lines.
Young children do not have these folds; the cheeks are perfectly well-filled and remain in continuity with the upper white lip.
With age, the nasolabial folds appear and become increasingly deep due to the descent or ptosis of the malar fat, skin laxity above the folds, and contraction of certain muscles that animate the upper lip, simultaneously accentuating the depth of the nasolabial folds, the best example of which is smiling.
The simplest method to reduce the depth of these folds and regain a refreshed, rested and younger face is filling the folds by injecting hyaluronic acid at Dr Weiss's office, or filling with autologous fat (lipofilling), this time in the operating room as a day-case procedure.
If autologous fat filling is combined with a facelift, this is called a Composite Lift, very frequently performed by Dr Weiss.
This combination of two different surgical techniques greatly amplifies the results obtained, as a cervico-facial facelift alone already partially re-tightens the skin overlying the nasolabial folds, visually reducing their depth. This is a very beneficial indirect action on the folds.
In the case of a facelift combined with fat cell grafting into the folds, the MACS-Lift provides greater benefit in this case, by lifting and elevating the ptosed or descended malar fat.
In extreme cases, in elderly patients who strongly desire to reduce this very pronounced imperfection, surgical excision may be considered.