Facial Lifting for 60s: Improving Nasolabial Folds and Marionette Lines by Dr. Young-moon Yoo of Vibe Plastic Surgery

A naturally youthful transformation through the combination of Tension Fit thread lifting + nasolabial filler + Byryzn

Hello.

I am Dr. Young-moon Yoo, Director of Vibe Plastic Surgery.

As we age, one of the most concerning areas is often

nasolabial folds and jowls (marionette lines).

Especially after the age of 60, it is not just about wrinkles forming;

✔ Cheek tissue sags downward

✔ The area around the mouth collapses

✔ Skin elasticity decreases

✔ Fat hollows out or shifts

These factors combine to create an overall tired and heavy impression.

The patient in this case was also very concerned about ‘deepening nasolabial and marionette lines,’ and we proceeded with a treatment plan aimed at improving ‘sagging + hollowing + skin wrinkles’ simultaneously rather than just a single procedure.

Pre-procedure Concerns

✔ Deepened nasolabial folds

✔ Marionette lines sagging below the mouth

✔ Heavy-looking lower face

✔ Decreased skin elasticity

✔ Shallow skin wrinkles around the mouth

✔ A strong and tired-looking impression

In cases like this, repeatedly adding only filler often makes the face look heavier and larger.

Therefore, the most important first step is ‘lifting the sagging tissue back to its original position.’

Key Procedure 1: Tension Fit Thread Lifting

The core of this case was Tension Fit, the signature thread lifting of Vibe Plastic Surgery.

Tension Fit is not a lifting method that simply inserts many threads, but rather a lifting technique that analyzes:

✔ Direction of sagging

✔ Weight of fat

✔ Skin thickness

✔ Condition of retaining ligaments

✔ Facial shape and balance

Based on this analysis, the direction and depth of the threads are custom-designed for each patient.

For those with deep nasolabial and marionette lines, it is crucial to design the lift to naturally reposition sagging tissue laterally rather than just pulling it straight up.

In this patient’s case, the collapsed mouth line was naturally refined, and the jowls were significantly softened.

Why might the face look slightly larger after thread lifting?

The current photos were taken immediately after the procedure, so some swelling remains.

Additionally, right after lifting, sagging tissue that was folded inward is spread outward again, which can make the face appear slightly wider from the front.

However, despite this:

✔ Reduction in nasolabial depth

✔ Alleviation of marionette lines

✔ Improvement in mouth-area sagging

✔ Change from a heavy impression

These results are very distinct. Once the swelling subsides and the tissue settles, the lines will become much more natural and slim.

Key Procedure 2: Byryzn

A procedure that I was personally very satisfied with in this case was Byryzn.

The effect on improving shallow skin wrinkles that fold around the marionette lines was particularly excellent.

What is Byryzn?

Byryzn is slightly different from the concept of a ‘filling filler.’

It improves the condition of the skin layer itself, helping with:

✔ Skin elasticity improvement

✔ Alleviation of shallow wrinkles

✔ Skin texture improvement

✔ Reduction of fine lines

✔ Formation of natural volume

In other words, it is closer to making the skin itself healthy and firm rather than giving a heavy, filled feeling.

Cases where Byryzn is particularly effective:

1. When marionette lines fold into multiple shallow layers

It is especially effective for types where the skin is thin and crinkly rather than deeply pitted.

2. When fillers feel burdensome

Suitable for those who want to naturally improve skin texture without adding excessive volume.

3. When fine lines remain after thread lifting

Excellent for supplementing shallow skin wrinkles that cannot be resolved by lifting alone.

4. For those in their 50s and 60s with thin skin and low elasticity

Satisfaction levels tend to be high among middle-aged patients experiencing skin aging.

Key Procedure 3: Nasolabial Filler

This patient also had ‘mid-face volume loss’ that could not be solved by thread lifting alone.

Therefore, after first lifting the sagging tissue with Tension Fit, we naturally supplemented the lacking nasolabial volume with filler.

This sequence is very important.

If you only add filler while the tissue is sagging, the nasolabial area can look heavy and thick. However, if you first improve the tissue position with lifting and then supplement with only the necessary amount of filler:

✔ It looks much more natural

✔ The face looks less heavy

✔ Longevity is often improved

In this patient’s case, the hollowing and shadows of the nasolabial folds were naturally alleviated, resulting in a much softer and younger-looking impression.

Key Procedure 4: Skin Botox

In this case, Skin Botox was performed on the nasolabial and marionette areas.

Skin Botox is injected shallowly into the skin layer to provide:

✔ Skin texture improvement

✔ Fine line alleviation

✔ Pore improvement

✔ Skin elasticity improvement

When used with Byryzn, the synergy for improving fine lines around the mouth is excellent.

Additionally, Botox was administered to the glabella (between brows), bridge of the nose, and masseter (square jaw).

Glabella and nose bridge Botox reduce a strong or sensitive impression, while masseter Botox helps soften the volume of a heavy-looking lower face.

Conclusion: The Combination of Tension Fit + Nasolabial Filler + Byryzn

✔ When nasolabial and marionette lines deepen simultaneously

✔ Middle-aged patients with decreased skin elasticity

✔ When the face has become heavy due to repeated filler injections

✔ When you want to look naturally younger

✔ When the skin around the mouth is thinly folded

✔ When skin wrinkle improvement is needed beyond what lifting can provide

In these cases, approaching treatment through a combination of lifting, volume supplementation, and skin texture improvement often leads to much higher satisfaction than a single procedure.

Anti-Aging Lifting at Vibe Plastic Surgery

Vibe Plastic Surgery does not pursue lifting that simply pulls the face tight. We aim for the most natural and sophisticated anti-aging by considering:

✔ Cause of sagging

✔ Skin condition

✔ Location of fat

✔ Depth of wrinkles

✔ Overall facial balance

The key to Tension Fit thread lifting is analyzing each patient’s sagging pattern in detail to design the most effective direction.

If you are concerned about nasolabial folds, marionette lines, and sagging around the mouth, considering a combination of lifting and skin improvement rather than just repeated fillers is an excellent approach.