Archive for the ‘Mouth Shaping / Perioral Enhancement / Marionette lines’ Category

Nasolabial Folds Treatment by Dr Philip Young Seattle | Bellevue : Options and New Ways of Approaching this Area

Sunday, March 10th, 2013

Nasolabial Folds Treatment by Dr. Philip Young Seattle | Bellevue, Options and New Ways of Approaching this Area:  Treating the nasolabial folds seems like a very specific issue and separate from all the rest of the face. This approach has been used in the past. We did facelift to pull the fold up. Implants to the Nasolabial Fold: we used tissue to fill in the crease with fascia, alloderm, implants of silicone, goretex etc.  We have used Mid face lift to pull the cheek upwards to help this area. Fillers have been commonly used to approach this fold with a minimally invasive thought. Facial Implants have been used to fill in the space under the fold with some success. All of these approaches seem to work to some degree, with fillers have a more temporary duration and Solid Implants having more of a longer lasting effect. Perhaps the better way of looking into the nasolabial folds is to address them from a global perspective and approach them as being a part of the general advancement of aging of the face as a whole.

The nasolabial folds as an indication of the face aging as a whole: The aging of the face can be thought of as a general loss of volume sort of like how a grape changes into a raisin. The grape is much larger than a raisin and has a lot less folding than a raisin does. Filling in the nasolabial folds is like filling in a small area of depression or crevice in a raisin. The raisin may look good but may not look completely regenerated like a grape would look. It is our opinion and the opinion of the YoungVitalizer Team that to more appropriately address the nasolabial folds, you need to address the whole face, or at least the larger area around the nasolabial folds to get the best result. We feel to better address the nasolabial folds you need to shape the whole part of the face around the folds. This means that you should rejuvenate the cheek, the mouth, the nose and the general area around the nasolabial folds.  You can read more about the YoungVitalizer by clicking the logo of the YoungVitalizer below. Also here is link that discusses nasolabial folds and how to treat them:

Here is a before and after of the YoungVitalizer.

Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle

Saturday, February 13th, 2010

Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle:

YoungVitalizer Before After Pictures

YoungVitalizer Before After Pictures

The mouth area undergoes a lot of changes that can contribute to nasolabial folds, marionette lines, smoker lip lines and a downturned mouth.  Volume loss plays a major role in these changes.  Replacing this volume can have a profound impact in rejuvenating the aging mouth and the YoungVitalizer is our approach to improving this area.  Fat injections are a great way to do this and other fillers can help as well.  Sculptra can help if fat is not available.  Fat and Sculptra are good options for permanent or semi-permanent effects.  By this, I mean results that last more than 1 year. The picture below shows the locations of the nasolabial folds, marionette lines, and prejowl volume loss.  All of these issues can find their origination from volume loss to a large degree.  For the nasolabial folds, there are studies that show specific fat pockets that when re volumized can play a major role in eliminating nasolabial folds.  Specifically the area lateral to the nose and immediately deep to the most medial and superior area of the nasolabial folds is the area where re volumizing can play a big role in reversing nasolabial folds.  Furthermore volumizing in the whole area inside the nasolabial folds and marionette lines can rejuvenate the peri oral and mouth area.  Volumizing in the area immediately medial to the marionette lines can diminish these lines.  Volume in the prejowl area will blend this area in a more pleasing way with the jowls and in turn make them seem less apparent.  This is in line with the whole idea of doing prejowl implants with facelifts to improve the jawline.  Also volumizing the chin can restore this whole area as well and give support for the other areas that are volumizing.  One important thing that I have learned is that volumizing other adjacent areas can help support other areas by aiding in the volume expansion.   An example is if you place on stake in the ground and place a very heavy tarp over this stake.  It is more likely that you will form a nice area under that tarp the more stakes you put under the tarp.  It is also more helpful the more stakes you spread out in the area to give the original stake support.  Volumizing the chin is analogous to this idea.  When you volumize the chin it supports the volume you put in the prejowl area as well.  More likely than not your chin has lost volume as well and volumizing deep to the chin will rejuvenate your lower third or lower mouth area.  Also people are likely to develop deep wrinkles in the labio mental sulcus which is the crease that is under the lower lip.  Volumizing deep in the chin just inferior to this crease will help to eliminate this crease.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Perioral Diagram

Cure and Correction of the Frowning Mouth Can be done with Corner of the lip lifts By Dr. Philip Young Bellevue | Seattle

Sunday, February 7th, 2010

Cure and Correction of the Frowning Mouth Can be done with Corner of the lip lifts By Dr. Philip Young Bellevue | Seattle:

Cure and Correction of the Frowning Mouth (or aging mouth, downturned lips / mouth, sad mouth, downturned corners of the lips / mouth) Can be done with Corner of the lip lifts. Many times a facelift cannot completely correct the nasolabial folds and the marionette lines (puppet lines that curve down from the corner of the mouth.  Also a facelift does not correct the downturned mouth to a great degree.  When this is the case a corner of the lip lift can help the situation.  There are essentially two types of these lifts that can be done.  One is limited to just the corner of the mouth and can help the downturned mouth turn a little upward.  This requires a direct excision of the skin near the corner of the lip.  So one has to accept the possibility of a scar in the corner of the mouth.  These incisions usually heal with great results in near 90% of people.  When there are marionette lines, another type of lift extends the corner of the mouth lip lift to include the marionette lines to improve there appearance.  The other option that can be done for the nasolabial folds is also to excise the lateral portion of the nasolabial fold which contributes to is deepening.  So if you have persistent nasolabial folds, marionette lines, and downturned lips even after a facelift you can undergo these lip lifts and nasolabial excisions to improve the appearance of your mouth. Take a look at the pictures below.  The blue colored areas indicate where you could do excisions to improve the nasolabial folds (blue colored lentiform shape lateral to the nasolabial fold), just the downturned corner of the mouth (smaller blue lentiform pattern), or the downturned corner of the mouth and the marionette fold (larger lentiform or curved blue colored shape):

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our website: Aesthetic Facial Plastic Surgery

Frowning Mouth Drawing