The nasolabial fold, or the creases that extend from the nose to the corners of your mouth, often appear as one of the early signs of aging and can benefit from a lesser procedure when a facelift is not yet indicated. Successful treatment of the nasolabial fold can be accomplished by introducing dermal fillers to elevate the fold, thereby camouflaging its appearance. Frequently, flattening of the cheek accompanies thickening of the nasolabial due to migration of the cheek fat pad towards the lower third of the face. Adding volume to the cheek will restore the more rounded, full contours of youth to this region of the face. This approach is ideal for a younger patient, as well as an older patient who is seeking an alternative to facelift surgery. The entire procedure can be performed in Dr. Goldenberg’s office with the aid of topical numbing cream, and takes less than an hour.
Juvederm and Restylane
Juvederm XC and Restylane® are dermal fillers that are fashioned from hyaluronic acid and contain lidocaine, a local anesthetic. Hyaluronic acid is found naturally in the body and provides volume and fullness to the skin. Injectable hyaluronic acid has been modified to allow for a greater longevity than that found in the skin. It is a safe compound that is degraded gradually by the body over time. The duration of effect from the hyaluronic acid fillers ranges from six months to one year in most cases. Dr. Goldenberg will select the most appropriate filler based on the specific needs of each individual patient. Following the use of an anesthetic agent, if needed, a tiny needle is introduced into the skin. The volume enhancing effect is created by layering the filler in a series of fine tunnels within the undersurface of the skin.
Dr. Goldenberg may also recommend Radiesse®, an FDA-approved dermal filler that consists of calcium-based microspheres suspended in a water-based gel that will restore facial volume when injected into the skin. Radiesse® has a collagen stimulating effect and may produce results that last up to one year duration. Over time, the microspheres degrade naturally into calcium and phosphate ions that are safely metabolized by the body. Dr. Goldenberg may use Radiesse® to augment the nasolabial folds, corners of the mouth, as well as cheek, chin and jawline contouring.
Restylane, juvederm, and radiesse, in combination with other fillers, as well as Botox/Dysport, can be used to produce a liquid facelift with facial contouring. This procedure, done over time, can restore a more youthful, natural facial contour by lifting jowls, restoring flattened and sunken in cheeks and temple areas, and lifting corners of mouth.