Facelift for nasolabial folds, or more commonly referred to as laugh lines as they “circumscribe” the corners of the mouth, requires a different approach than the standard technique.
While the standard facelift rejuvenates the area starting from the lower eyelid down to the upper neck, much of its focus is on the jowling, which is caused by the loose skin and possibly some excess fat along the jawline.
But if one of the primary goals is to eliminate or at least soften the appearance of nasolabial folds, Beverly Hills plastic surgeon Dr. Tarick Smiley says facelift must cut more deeply into the facial muscle tissue so the “main structure” around the nose and cheeks are pulled up and tightened.
The facial tissue is then attached into the underlying structures within the lower eyelid, he adds.
The aforementioned surgical “method” not only softens the laugh lines, but may also result in fuller cheeks and thinner lower face, an improvement from the once boxy facial shape.
However, facelift is not the only option for patients who want to minimize the appearance of their nasolabial folds. For instance, volumizers—which can be in the form of cheek implants, dermal fillers, or fat transfer—can fill in the hollowed mid face and provide some lifting effect.
Filling in the cheeks can address several problems, and not just the nasolabial folds. For many patients, they can also notice improvements in the appearance of their hollowed lower eyelid and the downturn of their mouth without actually touching these facial areas.
Arguably, the most popular volumizers are hyaluronic acid-based dermal fillers such as Perlane and Restylane. They are injected beneath the muscles to fill in the deep folds or to correct the hollowed appearance, leading to a more refreshed countenance.
While hyaluronic fillers do not result in downtime, their effects can only last anywhere from four months to a year. For this reason, in the long run they cost more than the implants since each session can range from $1,000 to $3,000.
For a more permanent solution, cheek implant or fat transfer can be a good alternative to dermal fillers.
A cheek implant surgery may cost $5,000-$8,000, although it may get as high as $15,000 particularly with the use of a customized implant.
Meanwhile, fat transfer, which on average costs $5,000-$6,000, can also provide near permanent results as long as the grafts “settle” properly and form their new blood supply. In this procedure, donor fats are collected through a gentle type of liposuction, which are then purified and re-injected into the recipient site.