I really saw the malar creases in a recent photo I took. When I smile is when it really shows...and it depends on the light. I recently (2 months ago) had tear through fillers and I am very happy with the procedure. Also, it seemed like my malar creases were gone (tear trough injections swelling?)... I looked great! When the swelling went down...obviously they are back. What is the best procedure?
Answer: Malar crease You are experiencing early descent of your cheeks creating a submalar crease as well as accentuated nasolabial depressions. You also have noticeable smile lines ("crow's feet").The former will respond very well to fillers. There are choices and I would let the decision be made after appropriate consultations. The latter is treated by muscle attenuators such as Botox or Dysport. You should expect excellent results in the hands of an experienced injector.
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Answer: Malar crease You are experiencing early descent of your cheeks creating a submalar crease as well as accentuated nasolabial depressions. You also have noticeable smile lines ("crow's feet").The former will respond very well to fillers. There are choices and I would let the decision be made after appropriate consultations. The latter is treated by muscle attenuators such as Botox or Dysport. You should expect excellent results in the hands of an experienced injector.
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June 16, 2019
Answer: Correcting MeloLabial Folds with Filler Good Morning:What you are experiencing is a natural progression in facial aging. You are first hand witnessing depletion and descent of the malar (cheek) fat pad, loss of the bony prominence of the cheek, as well as overall skin laxity. The natural result of these 3 forces working together is to emphasize the depth and appearance of the MeloLabial Folds to the left and right of your mouth and nose. Lucky for you, you are living in one of the most exciting times for facial aesthetics, especially involving injectables. More and more products are being introduced on the market (Voluma, Restylane Lift, Perlane, Radiesse) which give experienced practitioners many options to use to address the changes you are seeing on your face. In addition, there is a greater exchange of information happening between practitioners involving advanced techniques, etc. all of which benefits patients.How I would address your MLF's would emphasize recreating your natural cheek prominences, working with a filler in your midface zone. (This is a relatively new technique - last 5 years - for addressing MLF's) It is important to ask to see your practitioners examples of before and after, so that you don't achieve an overfull chipmunk look in the midface and that the result is natural looking. Adding volume and support in this zone decreases the depth, angularity and appearance of the MLF's around your mouth and nose. Most likely, I would use some of the product, or a different filler, to address and make small corrections in what remains of your MLF. Remember, most people in midlife still have MLF's, the difference between those of us who look depleted vs. those who are fresh, is often the depth of these folds. The goal should not be total obliteration of the appearance of these folds, as overfilling may contribute to an unnatural 'simian' appearance in the lower face.I hope this information helps!
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June 16, 2019
Answer: Correcting MeloLabial Folds with Filler Good Morning:What you are experiencing is a natural progression in facial aging. You are first hand witnessing depletion and descent of the malar (cheek) fat pad, loss of the bony prominence of the cheek, as well as overall skin laxity. The natural result of these 3 forces working together is to emphasize the depth and appearance of the MeloLabial Folds to the left and right of your mouth and nose. Lucky for you, you are living in one of the most exciting times for facial aesthetics, especially involving injectables. More and more products are being introduced on the market (Voluma, Restylane Lift, Perlane, Radiesse) which give experienced practitioners many options to use to address the changes you are seeing on your face. In addition, there is a greater exchange of information happening between practitioners involving advanced techniques, etc. all of which benefits patients.How I would address your MLF's would emphasize recreating your natural cheek prominences, working with a filler in your midface zone. (This is a relatively new technique - last 5 years - for addressing MLF's) It is important to ask to see your practitioners examples of before and after, so that you don't achieve an overfull chipmunk look in the midface and that the result is natural looking. Adding volume and support in this zone decreases the depth, angularity and appearance of the MLF's around your mouth and nose. Most likely, I would use some of the product, or a different filler, to address and make small corrections in what remains of your MLF. Remember, most people in midlife still have MLF's, the difference between those of us who look depleted vs. those who are fresh, is often the depth of these folds. The goal should not be total obliteration of the appearance of these folds, as overfilling may contribute to an unnatural 'simian' appearance in the lower face.I hope this information helps!
Helpful 3 people found this helpful
