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Q. I am 44 years old. I had a facelift 3 years ago to correct my marionette folds. Unfortunately they were not improved after that procedure. I have had filler on several occasions but these do not really improve these folds either. These are not lines – they are actual folds, I’m guessing from volume loss/laxity higher up. I have no other lines to speak of elsewhere on my face so these stand out like a sore thumb. Would a lower facelift specifically help or a vertical facelift ?
A. The peri-oral lines and folds are the last area of the face where surgery has difficulty correcting.
Whereas tissue laxity creases horizontally under the breasts and tummy, the “waves” of skin laxity fold at areas of resistance in a slanted or oblique orientation on the face.
Examples of these are:
