The Plastic Surgery Department of the People's Hospital for Nasolabial Fold Wrinkle Removal in New York City Ranks Among the Top!

Introduction

Nasolabial folds, often referred to as “smile lines,” run from the bottom of the nose to the corners of the mouth. These folds are a natural part of the face, but as people age, they can become more prominent and are a common concern for those seeking to maintain a youthful appearance. In New York City, the plastic surgery department of the People's Hospital is highly regarded for its expertise in nasolabial fold wrinkle removal. This article will delve into various aspects related to nasolabial fold wrinkle removal, including causes, prevention, treatment options, and the reputation of the hospital's plastic surgery department.

What are Nasolabial Folds?

Nasolabial folds are significant facial structures. They not only separate the cheeks from the upper lip but also support the buccal fat pad. Everyone has nasolabial folds, but their prominence can vary from person to person. Some individuals are content with their appearance, while others may wish to reduce their visibility due to aesthetic reasons. As the face undergoes the natural aging process, these folds tend to become more noticeable.

Causes of Deep Nasolabial Folds

1. Age: One of the primary factors contributing to deep nasolabial folds is age. As we grow older, the body undergoes several changes that affect the skin. Collagen and elastin fibers, which are responsible for keeping the skin smooth and supported, break down. This breakdown leads to a loss of skin elasticity and firmness. Additionally, the cheekbones flatten over time, causing the skin to sag. This sagging contributes to the deepening of the nasolabial folds.
2. Sun Damage: Prolonged exposure to the sun's harmful ultraviolet (UV) rays can accelerate the aging process of the skin. UV rays can damage the collagen and elastin fibers in the skin, reducing its ability to maintain its shape and elasticity. This damage can lead to premature wrinkling, including the deepening of nasolabial folds.
3. Smoking: Smoking is another significant contributor to the development of deep nasolabial folds. Cigarette smoke contains harmful chemicals that can damage the blood vessels in the skin, reducing blood flow and oxygen supply. This lack of oxygen and nutrients can weaken the collagen and elastin fibers, making the skin more prone to wrinkles and sagging. Additionally, the repetitive motion of smoking, such as pursing the lips, can also contribute to the formation of nasolabial folds.
4. Weight Changes: Significant weight loss or gain can have a noticeable impact on the appearance of nasolabial folds. When a person loses a large amount of weight, the skin on the face and neck may become loose and saggy. This loose skin can accentuate the nasolabial folds. On the other hand, rapid weight gain can plump up the face, causing the skin to stretch. This stretching can also lead to the deepening of the nasolabial folds.
5. Sleeping Position: The way a person sleeps can also affect the appearance of their nasolabial folds. Side sleeping, in particular, can cause one or both of the nasolabial folds to deepen over time. The pressure exerted on the face while sleeping on one side can lead to the formation of wrinkles and folds.
6. Genetic Factors: Genetics play a role in the development of nasolabial folds. Some individuals may be genetically predisposed to having deeper nasolabial folds at a younger age. Even people as young as 25 may experience deepened nasolabial folds due to their genetic makeup.

Can Nasolabial Folds be Prevented?

While it's not possible to completely prevent the formation of nasolabial folds, there are steps that can be taken to slow down their development and maintain a more youthful appearance. Here are some preventive measures:

• Quit Smoking: As mentioned earlier, smoking is a major contributor to skin aging and the development of wrinkles. Quitting smoking can significantly improve the overall health of the skin and reduce the risk of developing deep nasolabial folds.
• Use Sunscreen: Protecting the skin from the sun's harmful UV rays is crucial for preventing premature aging. Applying sunscreen with a high sun protection factor (SPF) daily can help prevent sun damage and maintain the elasticity of the skin.
• Moisturize: Keeping the skin well - moisturized is essential for maintaining its suppleness and smoothness. Using skincare products that contain vitamin C and retinol can help boost collagen production and improve the overall texture of the skin. These ingredients can also help reduce the appearance of fine lines and wrinkles, including nasolabial folds.

Treatment Options for Nasolabial Folds

Non - Surgical Options

There are several non - surgical options available for reducing the appearance of nasolabial folds. These options are often less invasive and have a shorter recovery time compared to surgical procedures.

1. Dermal Fillers: Dermal fillers are a popular non - surgical option for treating nasolabial folds. These fillers are typically made of hyaluronic acid, a natural substance found in the body that helps add volume and hydration to the skin. Restylane and Juvederm are two well - known brands of dermal fillers. They can be injected into the nasolabial folds to plump up the skin and reduce the appearance of wrinkles. The results are usually immediate and can last up to 18 months. However, multiple treatments may be required to maintain the desired results.

   Fillers	Advantages	Disadvantages
   Restylane	Natural - looking results, relatively long - lasting, can be dissolved if needed	May cause temporary swelling, bruising, or lumps
   Juvederm	Highly effective in filling deep wrinkles, smooth consistency	Cost can be a factor, results may vary depending on individual

2. Laser Skin Resurfacing: Laser skin resurfacing is a procedure that uses lasers to remove the outer layer of damaged skin and stimulate the growth of new, healthier skin. This can help reduce the appearance of nasolabial folds, as well as other wrinkles and fine lines. The treatment can improve skin texture and tone, but it may require multiple sessions and a recovery period. During the recovery, the skin may be red, swollen, and sensitive.
3. Microdermabrasion: Microdermabrasion is a non - invasive procedure that uses a special device to exfoliate the outer layer of the skin. It helps remove dead skin cells, unclog pores, and stimulate collagen production. While it may not be as effective as other treatments for deep nasolabial folds, it can help improve the overall appearance of the skin and reduce the visibility of fine lines. The procedure is relatively quick and has minimal downtime.
4. Botox and Dysport Injections: Botox and Dysport are injectable neurotoxins that can be used to relax the muscles in the face. While they are not directly used to fill nasolabial folds, they can be used to reduce the appearance of the folds by blunting the smile. This can prevent the muscles from creating deep creases when smiling. The effects typically last for about 3 months.

Surgical Options

When non - surgical options are not sufficient to address deep nasolabial folds, surgical procedures may be recommended.

1. Nasolabial Fold Excision: Nasolabial fold excision is considered the best surgical way to remove deep nasolabial folds. Under local anesthesia, the procedure takes about an hour. During the surgery, the surgeon makes an incision along the natural crease line of the nasolabial fold and removes the excess skin and tissue. The stitches are removed within five to seven days. However, it may take several weeks for the full recovery to occur. This procedure is recommended for people who have severe or heavy creases that do not respond well to fillers.
2. Facelift: While a full facelift is often seen as a comprehensive solution for facial rejuvenation, it has limitations when it comes to treating severe nasolabial folds. A mid - facelift or full facelift alone may not be sufficient to completely eliminate deep nasolabial folds. Direct incision for the nasolabial folds may be necessary, either as a standalone procedure or in combination with a facelift. Sometimes, a mid - facelift is recommended to correct drooping cheeks, or a small cheek implant may be used to provide definition to the upper part of the face.

   Type of Facelift	Advantages	Disadvantages
   Full Facelift	Addresses multiple signs of aging in the face and neck, long - lasting results	Longer recovery time, higher cost, more invasive
   Mid - Facelift	Targets the mid - face area, can improve nasolabial folds and cheek sagging, less invasive than full facelift	May not address other areas of the face, results may not be as comprehensive

3. Mini Facelift: A mini facelift is an option for patients who are experiencing “filler fatigue” and “laser fatigue.” It involves making small incisions, often in front of the ears, and can be performed under local anesthesia or twilight sedation. A mini facelift can address drooping of the soft tissues and loosening of the skin in the face and neck, including jowls, marionette lines, and dropped cheeks. Some surgeons, like Dr. Andrew Jacono, have developed advanced techniques such as the m.a.d.e. (minimal access deep plane extended) facelift, which is effective in restoring the midface and nasolabial folds. The results of a mini facelift typically last 10 to 15 years, and the recovery time is relatively shorter compared to a full facelift.

The Reputation of the Plastic Surgery Department of the People's Hospital in New York City

The plastic surgery department of the People's Hospital in New York City has earned a reputation for its high - quality care and expertise in nasolabial fold wrinkle removal. In a city known for its top - notch medical facilities and renowned plastic surgeons, this department stands out for several reasons.

• Experienced Surgeons: The department is staffed with highly trained and experienced plastic surgeons who have in - depth knowledge of facial anatomy and the latest techniques for treating nasolabial folds. These surgeons have completed extensive formal training, including residencies and fellowships, and are board - certified by the American Board of Plastic Surgeons. They stay updated with the latest advancements in the field through continuing education and research.
• Comprehensive Approach: The plastic surgery department takes a comprehensive approach to patient care. They understand that each patient is unique and has different needs and goals. Before recommending a treatment, the surgeons conduct a thorough evaluation of the patient's facial structure, medical history, and expectations. This allows them to develop personalized treatment plans that are tailored to the individual patient. Whether it's a non - surgical option like dermal fillers or a surgical procedure like nasolabial fold excision, the department ensures that the patient is well - informed about the pros and cons of each treatment and is involved in the decision - making process.
• State - of - the - Art Facilities: The hospital is equipped with state - of - the - art facilities and the latest technology to ensure the safety and effectiveness of the treatments. The surgical suites are fully accredited by the American Association for Accreditation of Ambulatory Facilities, which means they meet the highest standards of safety and quality. The department also uses advanced diagnostic tools and imaging techniques to accurately assess the patient's condition and plan the treatment.
• Positive Patient Outcomes: The plastic surgery department has a track record of achieving positive patient outcomes. Many patients who have undergone nasolabial fold wrinkle removal procedures at the hospital have reported significant improvements in their appearance and self - confidence. The surgeons' skillful techniques and attention to detail result in natural - looking results that enhance the patient's overall facial aesthetics. Patient testimonials and before - and - after photos are available to showcase the department's success stories.
• Patient - Centered Care: The department places a strong emphasis on patient - centered care. The staff is friendly, compassionate, and dedicated to providing a comfortable and supportive environment for the patients. They take the time to answer the patients' questions, address their concerns, and provide after - care instructions to ensure a smooth recovery. The department also offers financing options and payment plans to make the treatments more accessible to patients.

Cost of Nasolabial Fold Treatment

The cost of nasolabial fold treatment can vary depending on several factors. For non - surgical options like dermal fillers, the cost is typically based on the type and amount of filler used. Different brands of fillers may have different price points, and the number of syringes required can also affect the total cost. Laser skin resurfacing and microdermabrasion costs may depend on the area being treated and the number of sessions required.

Surgical procedures, such as nasolabial fold excision and facelifts, are generally more expensive. The cost of these procedures can be influenced by the complexity of the surgery, the location of the hospital, the type of anesthesia used, and the expertise of the surgeon. Nasolabial fold surgery is generally 50 - 75% cheaper than a facelift and is less invasive. It's important to note that most cosmetic procedures are not covered by health insurance providers. However, many plastic surgery practices, including the People's Hospital's plastic surgery department, offer payment plans and financing options to help patients manage the cost.

What to Expect During the Treatment Process

Consultation

During the initial consultation, the plastic surgeon will have a detailed discussion with the patient. The surgeon will ask about the patient's medical history, including any previous surgeries, allergies, or medical conditions. They will also examine the patient's facial folds, assess the skin elasticity, and discuss the patient's goals and expectations. The surgeon may show the patient before - and - after photos of previous patients to give them an idea of the possible results. This is also an opportunity for the patient to ask questions and get more information about the treatment options.

Treatment

If the patient decides to proceed with a non - surgical treatment, such as dermal fillers, the procedure is usually quick and can be done on an outpatient basis. The injection site may be numbed with a topical anesthetic to minimize discomfort. The filler is then injected into the nasolabial folds using a fine needle. The patient can usually see the results immediately, but there may be some temporary swelling or bruising.

For surgical procedures, the patient will be given detailed pre - operative instructions. This may include avoiding certain medications, such as blood thinners, for a period of time before the surgery. On the day of the surgery, the patient will be admitted to the hospital or surgical center. They will be given anesthesia, either local or general, depending on the type of procedure. The surgery will then be performed according to the planned treatment. After the surgery, the patient will be monitored in the recovery area until they are awake and stable.

Recovery

The recovery process varies depending on the type of treatment. Non - surgical treatments usually have minimal downtime. For example, with dermal fillers, the patient can usually resume their normal activities immediately after the treatment, although they may need to avoid strenuous exercise and excessive sun exposure for a few days. Any swelling or bruising typically resolves within a few days.

Surgical procedures require a longer recovery period. After nasolabial fold excision or a facelift, the patient may experience swelling, bruising, and discomfort. They will need to follow the surgeon's post - operative instructions carefully, which may include taking pain medication, keeping the head elevated, and avoiding certain activities. Stitches are usually removed within a week or two, and it may take several weeks or even months for the full results to become apparent.

Conclusion

Nasolabial folds are a common concern for many people, especially as they age. However, with the various treatment options available, it is possible to reduce their appearance and achieve a more youthful look. The plastic surgery department of the People's Hospital in New York City is a top - ranked choice for nasolabial fold wrinkle removal. Their experienced surgeons, comprehensive approach, state - of - the - art facilities, and commitment to patient - centered care make them a trusted provider in the field.