My left cheek and large nasolabial fold hang much lower than the right. Any suggestions?


Dr. Dean Kane Q & A.

Q. I’m 60 and had a smaz mid-face/neck lift 2 years ago, and don’t want to do another facelift. Everything still looks good except only one nasolabial fold is a deep crevice. Already tried fillers many times – end up with a bigger face/cheek on one side because it takes so much product to fill it! Would it be possible to cut along the half-moon at the side of the nose, pull the skin horizontally toward the nose, cut the excess, and suture it in the crease, which will hide the scar. Any thoughts? A. Our facial skeleton is not symmetrical and much like a dress hanging on a bent hanger, it folds or creases on one side differently than the other. ​​As you have stated, fillers may help but have other side-effects. Explore other options such as Sculptra for firming the skin or a series of skin tightening “laser” treatments. ​ ​Excision of the fold or a “reverse” facelift on the looser side maybe your option but consider the side-effects too; such as a scar, flatter cheek, pulled nasal ala. Consider also the secondary redness, thickness and length of the scar. ​ ​Each option has its pros and cons. If you feel comfortable with your facelift surgeon have him / her review these alternatives with you or consider a second opinion with a reputable Board Certified Plastic Surgeon of Facial ENT surgeon who provides all these options so he / she is not biased by only one option. ​ ​All the best!  
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