Nasolabial Fold Surgery: A Structural Approach for Natural Facial Expressions > Plastic Surgery

Nasolabial folds, the lines that appear when you smile, can seem like natural features. However, when they deepen and become fixed, they can create a heavy impression.

Especially with age, as skin elasticity decreases and cheeks sag, they can give the impression of being more tired than you actually are.

In consultations, many patients share concerns such as, "They don't disappear even with makeup," or "My expression looks stiff."

Nasolabial folds are not just a surface-level skin issue; they are a phenomenon that occurs as the overall facial structure changes.

Therefore, when considering nasolabial fold surgery, a fundamental approach is necessary, and facelifts have become an important method in that process.

A structural approach is always emphasized for this surgery.

Reasons for Deepening Nasolabial Folds

Nasolabial folds are not solely due to aging; several factors contribute.

As you age, skin elasticity decreases, and the fat in the cheeks descends, making the wrinkles more pronounced.

However, in some cases, the folds may appear prominent even at a young age due to bone structure or genetic factors.

Repetitive facial expressions can also play a role.

Above all, the most significant cause lies in the imbalance created when the skin, SMAS layer, and fat layer sag simultaneously.

During consultations, it's emphasized that managing only the surface of nasolabial folds is insufficient and that the deep structure of the face must be addressed.

Understanding these causes helps patients appreciate the necessity of surgery.

The Principles and Process of a Facelift

Facelifts, approached as nasolabial fold surgery, do not merely involve pulling the skin; they involve repositioning and fixing the SMAS layer, the facial muscle layer, back to its original position.

Incisions are designed along the hairline or around the ears to minimize visible scarring. The sagging SMAS and skin are then lifted and secured.

This improves sagging in the mid-face area, and volume naturally returns to its proper place.

The incision sites fade over time, and facial expressions recover to a natural, unexaggerated appearance.

A facelift is a process of thoroughly understanding the patient's SMAS and bone structure and restoring the original harmony through structural changes.

Elements Confirmed During Consultation

When planning nasolabial fold surgery through a facelift, it's crucial to carefully assess individual conditions.

The approach varies depending on skin thickness, fat distribution, SMAS condition, and facial shape.

Some individuals may primarily be concerned with nasolabial folds, while others may require addressing sagging in the cheeks or jawline to achieve balanced results.

Consultations are essential to realistically manage patient expectations and find the most suitable method.

Therefore, during the consultation process, the principles of the surgery and expected changes are thoroughly explained to help patients understand their condition.

This process plays a significant role in increasing satisfaction with the results.

Changes Observed During the Recovery Process

After surgery, bruising and swelling occur, but they usually subside over time.

Normal activities are generally manageable after 3-4 weeks, and the contours become more stable as time passes.

Wearing a compression bandage or combining it with skin care during the recovery period can lead to more stable results.

Some patients experience numbness or a pulling sensation in the skin, but these are natural phenomena that occur during the recovery process.

The recovery process after surgery is not just a waiting period but an important part of completing the results.

Those who follow the management guidelines well experience satisfactory changes, and natural expressions emerge over time.

Changes After Improvement

After the wrinkles are improved, the most common feedback is that the facial expression looks brighter.

First of all, the face looks much more relaxed, giving the impression of being younger than the actual age.

Patients often say, "My smiling face looks more natural than before when I take pictures."

As the wrinkles fade, the balance of the entire face is restored, and many regain confidence.

Every time these changes are observed, it is realized that nasolabial fold surgery not only changes the appearance but also positively changes the internal aspects, that is, the patient's lifestyle and mindset.

A female patient in her 50s said that she often heard that she looked tired because of her nasolabial folds.

She tried to cover it up with makeup, but it didn't work, and she was so conscious of it every time she took a picture that she finally came for a consultation.

As a result of the diagnosis, it was determined that a facelift was appropriate, and the surgery was performed.

After recovery, the patient said that she heard from people around her that "her face looks much more comfortable than before."

She also expressed satisfaction, seeing her natural expression when she smiled.

This case showed that nasolabial fold surgery played a major role not only in external changes but also in restoring psychological confidence.

Nasolabial fold surgery has created results that are difficult to obtain with methods that only treat the surface of the skin.

By adding the process of lifting and fixing the SMAS layer through a facelift, it was possible to experience natural and long-lasting changes.

In fact, the surgery restored the balance of the entire face and even changed the expression to a comfortable one.

I feel a great sense of accomplishment seeing patients regain confidence with new contours and expressions.

In the end, improving nasolabial folds was a process that positively changed patients' lives and mindsets.

I sincerely hope that those who are worried about nasolabial folds will find the right method for them through facelifts and experience positive changes.

Source :https://blog.naver.com/klkl2580/224036493521

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