Diminishing Facial Wrinkles by Linear Eversion

Abstract

ONE OF THE areas of the face which has not always benefited from plastic surgery includes the deep nasolabial folds as well as the infralabial and frown lines. Even in a radical rhytidectomy with extensive undermining, these areas have not always responded with satisfactory results.¹Chemabrasion affects only the superficial (epidermal) layer of the skin and will not always diminish deep furrows²; at any rate, it cannot be extended too close to the nose.³Chemexfoliation has been used in the treatment of nasolabial folds in combination with intradermal silicone injection,^4,5but this procedure entails the risk of foreign-body reaction, hardening of injected substance, or settling into an undesirable pattern. Fomon's technique of inserting a graft from the fascia lata (first described in 1939) involves a relatively radical procedure⁶; in addition, the implant may have a tendency to drift. This report describes a simple technique of