facial surgery
facelift blepharoplasty rhinoplasty

Nasolabial Folds vs Cheeks — The Chicken or The Egg

Friday, March 27th, 2015

Most people notice mid face aging when the nasolabial grooves become deeper. The marketing campaign by Juvederm about fixing your ‘Parentheses’ brought attention to it. However, most public and physicians did not understand in the beginning the reason behind formation of these nasolabial folds or grooves. Here is the reason. As we get older we loose bone in all of our body.

The same happens to facial skeleton as well. As the cheek bones get smaller they sink into the face and cannot hold up the soft tissues that used to make a beautiful apple cheek in our younger years. It is obviously exacerbated by the loss of elasticity in the soft tissues. As the tissues descend towards the lower jaw and lips they end up creating a fold called ‘Nasolabial Fold’ also known as ‘Nasolabial Groove’ or Smile lines.

So this makes it very clear that the loss of cheek volume comes first and then the nasolabial fold. Hence the chicken came first or the egg mystery has been solved. Next the issue is how to treat it. I always leave it to the patient to decide. If they want nasolabial folds to be softened only then any filler will achieve that.

However a better or more aesthetic approach is try restoring the structure of the face to what it used to be. To achieve that a filler should be used to rebuild the cheek bones to lift the tissues back up from the nasolabial folds to the apple cheek area where they belong. This works very well in the early aging years. With time it can be quite advanced and you need to approach the nasolabial fold directly as well. This issue has been addressed by mid face lift as well.

Dr. Tanveer A. Janjua is a New Jersey based facial plastic surgeon who specializes infacelift, blepharoplasty, rhinoplasty and other facial surgery services.

His main office location in Bedminister, NJ — within easy access from Morris and Somerset County, New Jersey and New York City. For more information or to schedule an appointment, contact us toll-free at 877-JANJUA1.

DISCLAIMER: THIS WEBSITE IS NOT INTENDED TO GIVE A MEDICAL OPINION. TO OBTAIN A MEDICAL OPINION, YOU WILL NEED TO BE EVALUATED IN PERSON. FOR ANY QUESTIONS CALL OUR OFFICE AT 908-470-2600


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JANJUA FACIAL SURGERY
2345 Lamington Road, Suite 108
Bedminster, NJ 07921
Tel: 1-877-JANJUA1 - (908) 470-2600
Serving Somerset, Morris and Hunterdon County, New Jersey