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How Can I Correct This Naseolabial Fold Problem on One Side of my Face?
msmmi in sf in Pleasanton, CA asks:
2 months ago I had 4 qaud eye lift, brow lift, full facelift and lipo of the neck. I had some nasolabial folds before surgery, and the doctor assured me these procedures would correct the problem. However, the fold on one side is still there, and never seemed to get better. I feel the malar fat pad may not have been lifted as much as it should have been. I am not into fillers that don’t last, after spending all this money for a more lasting fix. what should be done?
Photo Courtesy of RealSelf.com
It is now two months after the procedure and there has been a number of procedures performed, including your eyelift and brow lift and facelift, liposuction and neck lift. These are a lot of procedures and even though it has been two months there is still some reasonable amount of healing that needs to occur. Most people desire resolution of all their swelling and healing problems by a week or a month, but essentially three and six months or more is required.
Therefore assessing the nasolabial folds is somewhat premature at this phase, but a number of things can be discussed at this time. Facelift procedures can soften the nasolabial folds, but rarely get rid of the significant concerns of the nasolabial folds. Fillers are the best answer. There are a number of fillers; the temporary ones are beneficial. If you are interested in a “lasting fix” then more permanent type fillers are helpful, including Artifill and Sculptra, as well as fat grafting. Fat grafting tends to be the best answer in many instances due to its reliability and the fact that it comes from your own body to begin with.
So the best answer to your question is to wait a little bit of time, at least three months if not six months, and assess things and consider fillers after that period of time. Fat grafting would be my first option, Sculptra would be a second answer.
Is it possible to make my smile not as wide?
Photo courtesy of smileplus.wordpress.com
“Hi I am 20 years old, when I smile or laugh my mouth opens very wide so it seems that my smiel goes from ear to ear! is there anyway to fix it so when I’m laughing, my mouth won’t open as much?”
This is a significantly delicate and tricky proposed concern. Overall there is not a recommended surgical procedure. However, based on your anatomy there is a possibility that some expertly placed small degree of Botox can diminish some of the widening of the smile. However, nonetheless this has to be done, performed and assessed by a physician who does a significant amount of Botox treatments. Overall, I think that it is important to get a good opinion from a physician as to whether anything, if at all, should be done. Try to trust the opinion of the physician that you consult with and if you have a trustworthy physician and a physician who is well recommended and if this physician says don’t have any procedures done then importantly you should listen to this recommendation.
