Will Midface Augmentation Decrease My Nasolabial Folds?

Q: Dr. Eppley, i want to push out my maxilla to reduce nasal labial lines, perform fat transfer for the indentation after I had a alarplasty, and for the chin jaw also to push out the chin to reduce marionette lines.

A: Expanding the skeletal base will help push out the soft tissues and reduce some of the overlying indentations. For the cental midface this is premaxillary and paranasal implant augmentation. The only question is whether this is to be done by standard ePTFE or custom designed implants. For the chin such expansion is best done from a sliding genioplasty which pushes out the overlying tissues the most effectively.

Dr. Barry Eppley

World-Renowned Plastic Surgeon