What is nasolabial fold excision?

The direct excision of the nasolabial folds is a powerful way to reduce deep nasolabial folds -- better than face-lifting and more long-lasting than filling. Under local anesthesia, the folds are cut out as if they were moles. The cheek fat can be slid under the fold and then the skin is brought together, using dissolving deep stitches and Dermabond glue on the surface.

The technique relies on creating an exceptional scar that looks like a wrinkle. Certainly if a red, raised scar results, the patient will be troubled for months or years. Men with significant sun damage are the prime candidates for this procedure, because women's scars will be more noticeable.

Deep nasolabial folds trouble many people. Some patients ask for complete eradication. I point out that humans, unlike apes, normally have folds -- check out any child.

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