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The nasolabial fold: a challenge, a solution

B Guyuron1, B Michelow

  • 1Department of Surgery, Case Western Reserve University, Cleveland, Ohio.

Plastic and Reconstructive Surgery
|March 1, 1994
PubMed
Summary
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This study presents a surgical technique to correct prominent nasolabial folds by repositioning facial fat and skin. The approach achieved good to excellent results in 82.9% of patients, enhancing facial aesthetics.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Aesthetic Surgery

Background:

  • Prominent nasolabial folds are caused by skin laxity and localized fat deposits.
  • Aging leads to thinning of facial skin and fat redistribution, accentuating folds.

Purpose of the Study:

  • To describe and evaluate a surgical technique for correcting pronounced nasolabial folds.
  • To assess the efficacy and complication rates of this problem-oriented approach.

Main Methods:

  • A surgical technique involving temple incisions, subcutaneous fat grafting under the fold, and lateral fat removal.
  • Utilized extensive undermining via a rhytidectomy flap for skin repositioning.
  • 35 patients (8 males, 27 females) underwent the procedure with an average follow-up of 23 months.

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Main Results:

  • 82.9% of patients (29 out of 35) achieved good to excellent results.
  • Complications included localized and expanding hematomas, and graft dislodgment (mitigated by sutures).
  • Partial graft resorption led to undercorrection in 17.1% of patients.

Conclusions:

  • The described surgical approach is effective for correcting prominent nasolabial folds.
  • Careful graft fixation and management of fat redistribution are crucial for optimal outcomes.
  • This technique offers a viable solution for facial rejuvenation targeting nasolabial folds.