Will Paranasal Implants Help Soften My Deep Nasolabial Folds?

Q: Dr. Eppley, I’d like to know your opinion about my deep nasolabial folds, I’m 50 years old woman. Are paranasal implants better options for me?

A:You have type IV deep inverted nasolabial folds. They will be refractory to any method of augmentation whether that is done by direct injections or an underlying push from implants on the bone. Think of it as scarred V indentations in the soft tissue. The only improvement option, and a significant one, is excision. That will definitely level out the folds and is the only method by which deep inverted folds can be improved. That may sound radical but you already have a deep groove in the skin anyway so a fine line scar will not look any worse.

Dr. Barry Eppley

World-Renowned Plastic Surgeon