2026-09-03
How Much Can Nasolabial Fold Thread Lifts Change Sagging Midface? Explaining the Transformation
This article explains how nasolabial fold thread lifts can improve the appearance of a sagging midface, which often causes deep nasolabial folds and a tired, aged look. It details the principles of the procedure and the expected changes.
※ This article is intended to provide medical information.
It is not subject to deliberation under Article 56, Paragraph 2 and Article 57 of the Medical Service Act, and is not an advertisement unrelated to the content of deliberation.
Hello,
I am Dr. Jung-Geun Park,
Director of Face Plus Plastic Surgery Clinic,
specializing in nasolabial fold thread lifts.
When nasolabial folds begin to deepen, many people
simply think it's just wrinkles,
but in reality, it's often caused by changes in the position of facial structures.
Specifically, as the midface area sags, the volume of the cheeks shifts, and the lines around the mouth deepen, which can make one's impression look tired or older.
Here's a real case.
The midface had sagged, and the lines around the mouth were deep, giving a tired and aged impression.
After the procedure, the tissues moved upwards, and the jawline became more defined.
How does the face change when the midface sags?
A youthful face is characterized by high cheekbones and cheeks, with a well-defined jawline.
This is often referred to as the ‘Triangle of Youth’, meaning a structure that is wide at the top and narrow at the bottom.
Over time, as the soft tissues of the midface gradually move downwards, this structure reverses.
The upper volume decreases, and tissues accumulate at the bottom, creating an impression of a longer face and a heavier lower jaw.
During this process, the nasolabial folds deepen, and the lines around the mouth often become more pronounced.
This is not simply a problem of skin folding, but rather the boundary becoming more distinct as the position of the cheeks shifts downwards.
How does a nasolabial fold thread lift work to improve the condition?
One method used to improve these structural changes is a thread lift.
This method doesn't just pull the skin surface; it's crucial to design the direction considering the internal facial structure.
Threads are typically inserted along the SMAS layer or the gliding plane between tissues,
creating anchor points in less mobile fixed areas to lift the lower tissues upwards.
Utilizing this structure, the cheeks and midface tissues move upwards, alleviating the lines around the mouth and gathering the central facial volume back upwards.
As a result, the impression often looks clearer, and the tired feeling is reduced.
Especially when the sagging is in its early stages or when surgery is too burdensome, it can be an option that offers relatively natural changes.
What kind of changes can actually be seen?
The extent of the effect varies depending on an individual's facial structure and degree of sagging.
If the cheeks have only slightly descended, a thread lift alone can raise the midface position, leading to a noticeable improvement in the lines around the mouth.
Here's a real case of a thread lift.
The important point is that this method is not simply about smoothing wrinkles, but rather a structural approach that guides the position of the descended soft tissues upwards.
Natural results are often achieved when the design considers the overall balance of the face.
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Frequently Asked Questions
What are the main causes of deepening nasolabial folds?
The main cause of deepening nasolabial folds is not simply skin wrinkles, but rather changes in facial structure where the soft tissues of the midface area sag, causing volume to shift and the lines around the mouth to deepen. This can make one's impression look tired or older.
What is the 'Triangle of Youth' and how is it related to aging?
The 'Triangle of Youth' describes the characteristic of a youthful face, where the cheekbones and cheeks are positioned high, and the jawline is well-defined. As aging progresses, the midface soft tissues move downwards, reversing this triangular structure and leading to an impression of a longer face and a heavier lower jaw.
How does a nasolabial fold thread lift improve nasolabial folds?
A nasolabial fold thread lift involves inserting threads into the SMAS layer or tissue gliding plane to create anchor points in less mobile fixed areas. These anchor points are used to lift the sagging cheeks and midface tissues upwards, alleviating the lines around the mouth and repositioning the central facial volume for improvement.
What extent of improvement can be expected from a nasolabial fold thread lift?
The extent of the effect from a nasolabial fold thread lift varies depending on an individual's facial structure and degree of sagging. If the sagging is in its early stages with only a slight descent of the cheeks, one can expect to see the midface position rise and the lines around the mouth soften, leading to a clearer and less tired impression.
Is a thread lift simply a procedure to smooth wrinkles?
No, a thread lift is not simply a procedure to smooth wrinkles. This treatment is a structural approach that guides the position of the descended soft tissues upwards. More natural results can be achieved when the design considers the overall balance of the face.