A technique of nasolabioplasty.

There are several techniques available for the improvement of the deep nasolabial folds. The standard face-lift operation is the most acceptable and popular technique as it leaves no scars on the face. Occasionally, the aesthetic surgeon encounters patients who, because of economic or health reasons, cannot undergo the face-lift operation. They may also be too old to want a full face-lift. In these individuals, a nasolabioplasty has been found very useful. The operation may also be used as an adjunct to rhytidectomy in patients with persistent sagging of the cheeks and deep nasolabial folds after a face-lift operation. Two incisions are placed on each side; one precisely on the nasolabial groove and the other lateral to the groove. The amount of skin outlined between the two incisions is proportional to the degree of pull desired. The island of skin between the incisions is not removed. Instead, it is de-epithelialized, rolled on itself into a tube and left in situ under the nasolabial fold to minimize recurrent deepening with time. Other techniques of nasolabioplasty are reviewed. The results of the operation in 14 patients are analyzed, and complications are discussed.