Filler for sagging, gaunt skin and deep nasolabial folds (27F) (Photos)

From the submitted photos it does appear that filler may help create more harmonious facial contours. You can also consider Morpheus8 treatments that give a rejuvenated appearance by addressing tone and texture. It sounds as if you have a skin care regimen in place, but it is a good idea to review it with an aesthetician to ensure the products are the correct ones for your skin type and concerns.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. It sounds like you’re really taking care of your skin and health, which is great to hear. Given your situation, fillers could potentially help restore balance and improve the appearance of your face, especially on the side that didn't retain the fat from your graft. For your specific concerns, placing filler in the cheeks can help add volume and lift, creating a more symmetrical and youthful appearance. Additionally, targeting the piriform fossa (the area around the nasolabial folds) can help smooth out the transition between your cheeks and jawline, further enhancing overall harmony. I hope this helps and best of luck!

The best way to approach the early signs of aging and loss of volume is to try a little bit of improvement in the lateral check area with hyaluronic acid fillers. This would give support to the ligaments and lift the face. I would restrain from placing filler in the piriform fossa, because in the longterm it might not look as natural. In your case, a little bit of support in the marionette area would also be beneficial. In addition to that, I will definitely recommend you to also try rejuvenating device procedures, such as laser resurfacing, or micro-needling, combined with RF to improve the texture of the skin and stimulate collagen. I recommend getting a formal evaluation with an expert. Best, Dr. Adem