Best interventions for correcting Nasolabial folds among those?

[Soalian]

What are the best interventions to have, in order to correct mild Nasolabial folds long-term?

Fillers?

Fat grafts?

Kybella injections?

Midface lift?

Jaw advancement surgery?

Nasolabial malar fat pad liposuction?

Subcision?



Thanks

 

[Deleted member 8699]

third option
invoking the master @RealSurgerymax

 

[JustBeCurry]

please explain your definition of mild

 

[Soalian]

please explain your definition of mild

I'd say at least Hero Fiennes-Tiffin levels of Nasolabial folds

 

[JustBeCurry]

I'd say at least Hero Fiennes-Tiffin levels of Nasolabial folds

I have lines like his and im planning on using retin-a because it grows your skin thicker

 

[sandcelmuttcel]

high lefort1 (legit)

 

[sandcelmuttcel]

or bone cartilage midface augmentation

 

[RealSurgerymax]

What are the best interventions to have, in order to correct mild Nasolabial folds long-term?

Fillers<Fat grafts

Kybella injections when this has to do with with resistant fat mounds over the nasolabial folds

Midface lift when it is because of aging but probably a cover up that won’t last long if you are in your 20s or 30s

Jaw advancement surgery will help if the right osteotomies are made and correct V-Y closure is performed

Nasolabial malar fat pad liposuction if, again having to do with resistant fat mounds over the nasolabial fold. For liposuction if this area you need to have a lot of fat here, if you don’t lypolysis injections are best.

Subcision does not work well.

And adding:

If due to a deep canine Fossa, a new way to deal with this is bone augmentation with bone grafts using a Allogenic 50/50 cortical-cancellous bone chips in a PRF membrane graft with cortical punctures for vascularization. This replaces paranasal implants which are also an option but seem too close to alveolar bone for my comfort.

 

[Soalian]

I have lines like his and im planning on using retin-a because it grows your skin thicker

Yes, but it might also contribute to subcutaneous fat loss, or is it a meme being thrown around on here?

 

[JustBeCurry]

Yes, but it might also contribute to subcutaneous fat loss, or is it a meme thrown around on here?

https://looksmax.org/threads/retin-a-causes-loss-of-subcutaneous-fat.135795/ i think its real, theres also some anecdotal evidence of it happening but i plan on using it only on my buccal fat before I try it anywhere else to see what it does in terms of fat loss

 

[Soalian]

I'm talking about folds like this guy

 

[Soalian]

https://looksmax.org/threads/retin-a-causes-loss-of-subcutaneous-fat.135795/ i think its real, theres also some anecdotal evidence of it happening but i plan on using it only on my buccal fat before I try it anywhere else to see what it does in terms of fat loss

Use it on your abdominal fat and report back, just buy tubs in bulk though

 

[JustBeCurry]

Use it on your abdominal fat and report back, just buy tubs in bulk though

ah yes just gotta get some more collagen in my abs so really make my skinny fat physique pop ya know?

 

[Soalian]

ah yes just gotta get some more collagen in my abs so really make my skinny fat physique pop ya know?

ABC theory bro,

Always

Be



...



Collagenmaxing

 

[RealSurgerymax]

I accidentally forgot to remove the quotes when I responded above:

What are the best interventions to have, in order to correct mild Nasolabial folds long-term?

Fillers<Fat grafts

Kybella injections when this has to do with with resistant fat mounds over the nasolabial folds

Midface lift when it is because of aging but probably a cover up that won’t last long if you are in your 20s or 30s

Jaw advancement surgery will help if the right osteotomies are made and correct V-Y closure is performed

Nasolabial malar fat pad liposuction if, again having to do with resistant fat mounds over the nasolabial fold. For liposuction if this area you need to have a lot of fat here, if you don’t lypolysis injections are best.

Subcision does not work well.

And adding:

If due to a deep canine Fossa, a new way to deal with this is bone augmentation with bone grafts using a Allogenic 50/50 cortical-cancellous bone chips in a PRF membrane graft with cortical punctures for vascularization. This replaces paranasal implants which are also an option but seem too close to alveolar bone for my comfort.

 

[Soalian]

I accidentally forgot to remove the quotes when I responded above:

What are the best interventions to have, in order to correct mild Nasolabial folds long-term?

Fillers<Fat grafts

Kybella injections when this has to do with with resistant fat mounds over the nasolabial folds

Midface lift when it is because of aging but probably a cover up that won’t last long if you are in your 20s or 30s

Jaw advancement surgery will help if the right osteotomies are made and correct V-Y closure is performed

Nasolabial malar fat pad liposuction if, again having to do with resistant fat mounds over the nasolabial fold. For liposuction if this area you need to have a lot of fat here, if you don’t lypolysis injections are best.

Subcision does not work well.

And adding:

If due to a deep canine Fossa, a new way to deal with this is bone augmentation with bone grafts using a Allogenic 50/50 cortical-cancellous bone chips in a PRF membrane graft with cortical punctures for vascularization. This replaces paranasal implants which are also an option but seem too close to alveolar bone for my comfort.

Wow, your reply would deserve its own thread ngl

 

[RealSurgerymax]

Wow, your reply would deserve its own thread ngl

I have 3 threads to make on my list but have been busy these past few months

 

[JustAFewMM]

I dont think it matters that much tbh

 

[Soalian]

I accidentally forgot to remove the quotes when I responded above:

What are the best interventions to have, in order to correct mild Nasolabial folds long-term?

Fillers<Fat grafts

Kybella injections when this has to do with with resistant fat mounds over the nasolabial folds

Midface lift when it is because of aging but probably a cover up that won’t last long if you are in your 20s or 30s

Jaw advancement surgery will help if the right osteotomies are made and correct V-Y closure is performed

Nasolabial malar fat pad liposuction if, again having to do with resistant fat mounds over the nasolabial fold. For liposuction if this area you need to have a lot of fat here, if you don’t lypolysis injections are best.

Subcision does not work well.

And adding:

If due to a deep canine Fossa, a new way to deal with this is bone augmentation with bone grafts using a Allogenic 50/50 cortical-cancellous bone chips in a PRF membrane graft with cortical punctures for vascularization. This replaces paranasal implants which are also an option but seem too close to alveolar bone for my comfort.

Do you mind expanding on the reasons why fat grafts might be preferable to fillers in that case?

I'm torn between both options.

Thank you

 

[RealSurgerymax]

Do you mind expanding on the reasons why fat grafts might be preferable to fillers in that case?

I'm torn between both options.

Thank you

Fat is a permanent solution unlike filler

Filler also moves and over time can give you a fake look as you keep getting more and more filler treatments.

Filler is okay but just not first choice.The only time it would be first choice is if they have no fat to harvest.

 

[RAITEIII]

If due to a deep canine Fossa, a new way to deal with this is bone augmentation with bone grafts using a Allogenic 50/50 cortical-cancellous bone chips in a PRF membrane graft with cortical punctures for vascularization. This replaces paranasal implants which are also an option but seem too close to alveolar bone for my comfort.

Price?

 

[RealSurgerymax]

Price?

That will vary widely and many plastic & maxillofacial surgeons will probably say they don’t even do that. But a fair price would be similar to bone augmentation for dental implants (it’s main application) so about $2-4K in USD.

 

[RAITEIII]

That will vary widely and many plastic & maxillofacial surgeons will probably say they don’t even do that. But a fair price would be similar to bone augmentation for dental implants (it’s main application) so about $2-4K in USD.

I dont exactly see why a subcision wouldn't work well. I see reasonable results online.

 

[RealSurgerymax]

I dont exactly see why a subcision wouldn't work well. I see reasonable results online.

They can help a little with the actual nasolabial LINE but not the nasolabial concave contour from a retruded maxilla

 

[lasthope]

They can help a little with the actual nasolabial LINE but not the nasolabial concave contour from a retruded maxilla

Does a bimax/lefort 1 help with nasalobial folts?

ps: pls read my pm when you have a minute

 

[Deleted member 4410]

@RealSurgerymax this really needs it's own giga thread.

Also what do you mean by " nasolabial concave contour from a retruded maxilla ". Some people have it visible when smiling but it doesn't always mean they have visible folds when not smiling.

 

[valhalar]

If due to a deep canine Fossa, a new way to deal with this is bone augmentation with bone grafts using a Allogenic 50/50 cortical-cancellous bone chips in a PRF membrane graft with cortical punctures for vascularization

Do you know any surgeon who actually offers this?

 

[Tobias Fünke]

Fat is a permanent solution unlike filler

Filler also moves and over time can give you a fake look as you keep getting more and more filler treatments.

Filler is okay but just not first choice.The only time it would be first choice is if they have no fat to harvest.

What bodyfat % do you have to be to have fat to harvest?