“…1 The nasolabial fold is not just a skin groove but is the result of interaction among several factors including redundant cheek skin, facial muscle insertions to the dermis, and independent muscle vectors whose central point is the labial modiolus. 2 During the aging process, the cheek becomes ptotic, making the fold deeper and more prominent. [1][2][3][4] In spite of the considerable progress in the understanding of anatomic principles in facial aesthetic surgery, the conspicuous nasolabial fold is one area that continues to be a challenge for the plastic surgeon.…”
Section: S C I E N T I F I C F O R U Mmentioning
confidence: 99%
“…2 During the aging process, the cheek becomes ptotic, making the fold deeper and more prominent. [1][2][3][4] In spite of the considerable progress in the understanding of anatomic principles in facial aesthetic surgery, the conspicuous nasolabial fold is one area that continues to be a challenge for the plastic surgeon.…”
“…1 The nasolabial fold is not just a skin groove but is the result of interaction among several factors including redundant cheek skin, facial muscle insertions to the dermis, and independent muscle vectors whose central point is the labial modiolus. 2 During the aging process, the cheek becomes ptotic, making the fold deeper and more prominent. [1][2][3][4] In spite of the considerable progress in the understanding of anatomic principles in facial aesthetic surgery, the conspicuous nasolabial fold is one area that continues to be a challenge for the plastic surgeon.…”
Section: S C I E N T I F I C F O R U Mmentioning
confidence: 99%
“…2 During the aging process, the cheek becomes ptotic, making the fold deeper and more prominent. [1][2][3][4] In spite of the considerable progress in the understanding of anatomic principles in facial aesthetic surgery, the conspicuous nasolabial fold is one area that continues to be a challenge for the plastic surgeon.…”
“…Cadaver dissections have been carried out to find the relationship between the muscle structures and the NLF for cosmetic purposes 3,23,27,34,35,43 , focusing on the muscles contributing to the fold 3,29 and the types of NLFs 29,46 .…”
Section: Introductionmentioning
confidence: 99%
“…Three studies, all relying on cadaver dissection, have attempted to classify the angle of the NLF 29,35,46 . While 35 classify the shape of the NLF as being concave, straight or convex, no graphical representation of the shapes was included in their research.…”
Section: Introductionmentioning
confidence: 99%
“…While 35 classify the shape of the NLF as being concave, straight or convex, no graphical representation of the shapes was included in their research. The lack of demonstrative models to standardise the classes has led to inconsistency in the classification 29,46 . Both studies agree with 35 that the nasolabial crease is either concave, straight or convex, but the classification of 'convex' and 'concave' is opposite in these studies.…”
This research explores the relationships between the facial creases and the morphology of the underlying skull for supplementary use during forensic facial reconstruction. The correlation between skull morphology and the patterns of facial creases was obtained using the three-dimensional (3D) skull surface scans from William Bass skeletal collection at the University of Tennessee, which also provided the related ante-mortem face photographs. Superimposition of the facial crease patterns seen in a face photograph with the related skull image enabled the visual analysis of the correlation between the crease and the skull morphology.Qualitative analysis indicated that the infraorbital crease follows the outline of the orbit in 52% of the subjects while the nasolabial fold (NLF) relates to the canine fossa in 95% of the subjects. The infraorbital crease and NLF were reconstructed in a blind study using ten 3D surface scan skull models and related face photographs from the Helmer collection available in the Centre for Anatomy and Human Identification, the University of Dundee. Correct prediction was obtained in six specimens (60%). One inconclusive result was due to poor photograph quality and three inaccurate results showed an overestimation of the NLF strength although the location of the crease manifestation was correct.
Expanded PTFE augmentation presents a safe, effective method for softening deep nasolabial creases. Patients with more severe creases are likely to show more improvement with each augmentation, but are also more likely to require multiple procedures to achieve the desired aesthetic result.
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