Age: 23 - How to fix marionette/nasolabial folds on a YOUNG patient? (Photos)

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Based on what I can see from the photos, the prominence of your marionette and nasolabial lines appears to be related more to structural and soft tissue factors than simply age. It’s important to understand that facelift surgery is not solely about age—it is primarily about the condition of your skin elasticity and facial muscles.
In your case, I would recommend starting with less invasive options such as fat grafting (fat transfer) to restore volume and soften the appearance of these lines. This approach helps to balance facial contours and provides a more youthful, natural look.
If, over time, skin laxity and tissue sagging become more pronounced, then a lower facelift can be considered to achieve more permanent and comprehensive improvement.
In summary, your concern is definitely manageable at your age and typically approached in stages. A thorough in-person examination is essential to tailor the best treatment plan specifically for you.

You should consider an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

There are treatment options for marionette lines and nasolabial folds. Most people would start with filler either in the area to camouflage the depressions or in the cheeks for "lifting"; similarly, this can be done with fat grafting to the face. Sofwave nonsurgical skin tightening stimulates your own collagen and helps to help the chin, jawline, eyebrows and often the cheeks.