Dr. Hsin-Yu Chen's Mini-Lesson - Nasolabial Fold Invisibility Pad Surgery (Aristocratic Surgery): Essential Pre-operative Questions

Q: Aristocratic surgery (nasolabial fold augmentation)How do we do it?
A: The "Noble Surgery" (nasolabial fold augmentation) involves making a 1.5 cm incision in the oral mucosa inside the upper lip. Subperiosteal dissection is performed at the implantation site. A nasolabial fold pad of appropriate size and shape is then designed based on the degree of depression and placed subperiosteally to prevent displacement. Post-surgery, the implant is barely noticeable on the skin surface, and the appearance is very natural. Since the incision is inside the mouth, there is no risk of scarring, recovery is quick, and it doesn't significantly affect daily life.

Q: Are there any non-invasive surgical methods to fill in nasolabial folds?
A: Yes, for mild nasolabial fold depression, you can consider using...InjectionLikeHyaluronic acid or hyaluronic acidWait for collagen-boosting agents to fill the gaps in bone tissue; the effect is quick and requires little recovery time.
However, these materials are still relatively soft and lack support, making them vulnerable to pressure from soft tissue.It is relatively easy for displacement and deformation to occur.And it will metabolize over time.needRepeatedly administerTherefore, for cases with severe depressions, the effect of injectable filling is limited, and excessive injections may cause side effects. In addition, the cost of excessive doses is also a considerable burden. In such cases, surgical implantation of prostheses is more suitable, which can achieve stable and lasting results.

Q: What are the options for implants to fill nasolabial folds?
A: Currently, the implants that can be used to fill nasolabial folds include...Gortex, Camera, and artificial bones。
The most commonly used material is the sheet-like Gortex. Doctors can customize the sculpting to fit individual needs, placing it on the concave bone. Its soft and elastic texture requires minimal incision, resulting in minimal foreign body sensation and a natural appearance. Gortex's unique microporous structure allows cells to grow in and integrate with the tissue, avoiding the capsule reaction common with silicone materials and minimizing displacement, leading to stable long-term results. Removal is relatively easy because the tissue growing within the Gortex pores is less likely to adhere. However, it is still recommended that patients consult with their doctor before surgery to choose the material best suited to their individual needs for optimal results.
Q: Doctor, will the shape of my nose change?
A: Through precise tissue dissection, proper preservation of the attachment of the nasal muscles, and with the implant of appropriate size and proper placement, it will not significantly affect the shape of the nostrils or the size of the nasal wings.
Q: Doctor, why are my nasolabial folds still there after I had the aristocratic surgery?
A: Nasolabial folds are a normal anatomical structure, and even young people cannot completely eliminate them. For people with simple bone depressions in the upper jaw and nasolabial folds, implants can be placed to fill the bone depressions, push the soft tissue forward, reduce the height difference between the nasolabial folds and the surrounding tissues, thereby fading the nasolabial folds. Generally speaking, this can achieve an improvement of 70% to 80%.
However, for older adults, the causes of nasolabial folds are often complex, including degeneration of the maxilla and upper bones, atrophy of deep fat in the midface causing instability, or relaxation of the skin fascia, which causes superficial fat and epidermis in the midface to slide downwards and accumulate. Therefore, to improve nasolabial folds, it is necessary to combine other complex treatments to achieve a more comprehensive improvement effect.




Q:What is a composite nasolabial fold surgery?
It is a one-stop customized treatment program that combines multiple treatment methods to improve nasolabial folds. Under the treatment of experienced doctors, it can often achieve a synergistic effect of 1+1>2 in improving nasolabial folds!For example︰
❶useFiller injections, autologous fat grafting, or implantsTo make up for the lost parts and fill in the hollows of the nasolabial folds.
➋ Simultaneously throughRadio waves or sound waves achieve liftingFirming effectIt can improve mild facial sagging.
➌ Sagging cheeks cause noticeable nasolabial folds. For areas of facial fat sagging, treatment can be performed using...Thread embedding therapyIt pulls on the superficial fat.
➍ More severe sagging requires treatmentThrough eye bagsMid-face lift surgeryPerformed to achieve a more youthful appearance after surgery.。




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