Aesthetic Plastic Surgery

, Volume 35, Issue 4, pp 553–557 | Cite as

Surgical Softening of the Nasolabial Folds by Liposuction and Severing of the Cutaneous Insertions of the Mimetic Muscles

  • Jinhuang Wang
  • Jinjun HuangEmail author
Original Article



A surgical technique was developed to soften the nasolabial folds by liposuction and severing of the cutaneous insertions of the mimetic muscles. This procedure was used for 11 patients from September 2006 to June 2009.


With the patients under local tumescent anesthesia, extraoral incisions were made in nine cases and intraoral incisions in two cases. Liposuction was performed superior and lateral to the nasolabial fold using an order-made one-hole 2.5-mm cannula. After liposuction, the fibrae septa and the cutaneous insertions of the mimetic muscles in the nasolabial region were severed by a sharp-edge eye scissors. Compressive dressings were maintained for 3 days.


All the patients, followed up from 3 months to 3 years, were satisfied with the aesthetic results. Both the depth and the length of the nasolabial folds were decreased conspicuously. The most obvious change was improvement in the lateral part of the nasolabial folds. The extraoral scars were almost imperceptible. Severe complications were not observed in this series.


Surgical softening of the nasolabial folds by liposuction and severing of the cutaneous insertions of the mimetic muscles is especially suitable for 40- to 60-year-old women with aging faces who are unwilling to undergo a face-lift. The procedure is simple, and the anatomic causes for deepening of the nasolabial folds can be corrected. Patients usually are satisfied with the final postoperative results.


Liposuction Mimetic muscles Nasolabial folds 


Conflict of interest



  1. 1.
    Kane MA (2003) The effect of botulinum toxin injections on the nasolabial fold. Plast Reconstr Surg 112:66S–72SPubMedCrossRefGoogle Scholar
  2. 2.
    Rohrich RJ, Rios JL, Fagien S (2003) Role of new fillers in facial rejuvenation: a cautious outlook. Plast Reconstr Surg 112:1899–1902PubMedCrossRefGoogle Scholar
  3. 3.
    Salles AG, Lotierzo PH, Gimenez R et al (2008) Evaluation of the poly-l-lactic acid implant for treatment of the nasolabial fold: 3-year follow-up evaluation. Aesthetic Plast Surg 32:753–756PubMedCrossRefGoogle Scholar
  4. 4.
    Graivier MH, Bass LS, Busso M et al (2007) Calcium hydroxylapatite (radiesse) for correction of the mid and lower face: consensus recommendations. Plast Reconstr Surg 120:55S–66SPubMedCrossRefGoogle Scholar
  5. 5.
    Georgescu D, Jones Y, McCann JD et al (2009) Skin necrosis after calcium hydroxylapatite injection into the glabellar and nasolabial folds. Ophthal Plast Reconstr Surg 25:498–499PubMedCrossRefGoogle Scholar
  6. 6.
    Lassus C (2002) A surgical solution to the deep nasolabial fold. Plast Reconstr Surg 109(358–360):361–362Google Scholar
  7. 7.
    Rudkin G, Miller TA (1999) Aging nasolabial fold and treatment by direct excision. Plast Reconstr Surg 104(1502–1505):1506–1507Google Scholar
  8. 8.
    McKinney P, Cook JQ (1989) Liposuction and the treatment of nasolabial folds. Aesthetic Plast Surg 13:167–171PubMedCrossRefGoogle Scholar
  9. 9.
    Mendelson BC (1992) Correction of the nasolabial fold: Extended SMAS dissection with periosteal fixation. Plast Reconstr Surg 89(822–833):834–835Google Scholar
  10. 10.
    Rawlings AV (2006) Ethnic skin types: are there differences in skin structure and function? Int J Cosmet Sci 28:79–93PubMedCrossRefGoogle Scholar
  11. 11.
    Barton FJ, Gyimesi IM (1997) Anatomy of the nasolabial fold. Plast Reconstr Surg 100:1276–1280PubMedCrossRefGoogle Scholar
  12. 12.
    Rubin LR (1999) The anatomy of the nasolabial fold: the keystone of the smiling mechanism. Plast Reconstr Surg 103(687–691):692–694Google Scholar
  13. 13.
    Rohrich RJ, Pessa JE (2007) The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg 119(2219–2227):2228–2231Google Scholar
  14. 14.
    Leach JL Jr (2007) Facelift. Oper Tech Otolaryngol 18:189–194CrossRefGoogle Scholar
  15. 15.
    Gosain AK, Amarante MT, Hyde JS et al (1996) A dynamic analysis of changes in the nasolabial fold using magnetic resonance imaging: Implications for facial rejuvenation and facial animation surgery. Plast Reconstr Surg 98:622–636PubMedCrossRefGoogle Scholar
  16. 16.
    Pogrel MA, Shariati S, Schmidt B et al (1998) The surgical anatomy of the nasolabial fold. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:410–415PubMedCrossRefGoogle Scholar
  17. 17.
    Pessa JE, Brown F (1992) Independent effect of various facial mimetic muscles on the nasolabial fold. Aesthetic Plast Surg 16:167–171PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2011

Authors and Affiliations

  1. 1.Department of Plastic and Cosmetic SurgeryZhuJiang Hospital, Southern Medical UniversityGuangzhouPeople`s Republic of China

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