The Preoperative Feature

  • There are distinctive features of deep furrows or creases in the lines that run from the nose to the mouth.
  • These may be uneven from side to side.
  • These deep furrows may or may not be associated with deep wrinkle lines within the texture of the skin and usually at the depths of the furrows.
  • There may be prominent folds or bulges present just inside or next to the furrows.
  • These folds may be associated with loose hanging skin and extra fat. If you can pull up and back on your facial skin and see these folds improve greatly, then there is loose skin.
  • The desire to have less deep furrows, less wrinkle lines, tighter skin and a smoother surface.
  • These folds or furrows may be associated with jowls, or excess skin and fat along the jawline.
  • These folds or furrows may be associated with down turned corners of the mouth.
  • Folds and furrows that make you look sad or older.
  • Desire for a softened, delicate, balanced, and more youthful appearance in this area is often expressed by middle aged people.

The Procedure

  • A spectrum of options may be available depending on your anatomy and the degree of correction desired.
  • These range from filler materials, to implants, to facelift procedures.
  • Excellent filler materials are present and range from , Perlane, and Artecoll, to your own fat.
  • Implants include Gortex, Soft-form and others.
  • Facial procedures include minimal incision facelift, midface (vertical) facelift, suture suspension and a regular facelift.
  • Anesthesia can be none, local or general depending on the procedure employed. The surgery can take anywhere from 15 minutes to two hours.
  • Incisions may not be necessary (for injections) or well hidden inside the lips or hairline.
  • This can be combined with other surgeries.

The Recovery

  • You can go home immediately or at most after several hours.
  • You can shower the day after surgery.
  • Minimal or no pain that is mostly gone by the second day and easily controlled by medications.
  • Swelling which is mild to moderate and peaks at two to three days then disappears rapidly over the next week.
  • Minimal or no bruising which is greatest at two days then disappears rapidly by three to five days.
  • Resume most activities immediately, or at least within the first week.
  • No stitches to remove. They are all dissolvable.

The Result

  • You can retain your natural features, and have a softened, less sad and more youthful look around the mouth and cheeks.
  • A very natural result which is smooth but still moves naturally when you smile.
  • A softened and beautiful balance to compliment your other facial features and proportions.
  • Designed to last the rest of your life and always looks better than if you didn't do it.
  • Natural and presentable appearance within hours, or at most, after the first week that just gets better.