Nasolabial/possible rhinoplasty. What procedures would be best? (Photo)

Hi! Thanks for sharing your concerns so openly—it really helps to understand what you’re hoping to achieve. From your description and the photos, it sounds like you’re focused on two main areas: your nasolabial folds (the lines from your nose to the corners of your mouth) and the shape/size of your nose.

For nasolabial folds, there are a few options:

Dermal fillers (like hyaluronic acid) are the most common, minimally invasive way to soften these lines. Results are immediate and last 9–18 months depending on the product.

PDO or PCL threads can provide a subtle lift and stimulate collagen, but for deeper folds, fillers tend to give more predictable volume improvement. Threads alone may not fully address prominent folds.

Skincare/home options (like retinoids or peptide creams) can improve skin texture over time, but they won’t meaningfully reduce deep folds on their own.

For the nose, surgical and non-surgical options vary:

Non-surgical rhinoplasty with fillers can smooth bumps or refine the tip, but it cannot reduce the size of your nose. It’s a temporary, less invasive option.

Surgical rhinoplasty is the only way to reduce the size or significantly reshape your nose. Recovery is longer, and costs are higher, but the results are permanent.

Cost considerations (very general ranges in the U.S.):

Dermal fillers: ~$600–$1,500 per syringe (nasolabial folds often need 1–2 syringes per side).

PDO/PCL threads: ~$800–$2,000 depending on number of threads.

Non-surgical rhinoplasty: ~$800–$2,000.

Surgical rhinoplasty: ~$7,000–$15,000+, depending on complexity and surgeon experience.

At 18, your nose may still be finishing growth, so it’s especially important to carefully consider permanent surgery. Fillers or threads can be a good way to preview aesthetic changes before committing to anything permanent.

The bottom line: for your goals, fillers for nasolabial folds and either non-surgical rhinoplasty for minor refinements or surgical rhinoplasty for true size reduction are the realistic options. At-home methods will have very limited effect.

If you want, I can break down a step-by-step approach for trying fillers and threads first, so you can see results safely before considering surgery.

Fillers are a great way to improve the appearance of nasolabial folds. The treatment is done in the office and the results last approximately one year. A great adjunct treatment is Morpheus8. This treatment improves overall skin tone and texture. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Even little children as young as five or six years old, have nasolabial folds, and that does not by any means imply that they have to have it somehow treated. Your nasolabial folds are also quite normal and I don’t believe they require treatment, but that’s entirely up to you, if you desire to have fillers placed into your nasal labial folds, I’m sure you can find a dermatologist or a plastic surgeon in your neck of the woods. I hope this helps and good luck from New York City Plastic Surgery.

Regarding the nasolabial folds. Your best option is to start with fillers in this region. They are safe, dissolvable (if an untoward outcome is experienced), and they are temporary, so it gives you a nice trial as to the change in appearance.

Regarding your nose, you'd need to discuss your concerns with a rhinoplasty surgeon. It's very achievable to reduce the overall size of the nose, but this must be carefully balanced with preservation of your breathing. Rhinoplasty costs vary tremendously, but I would expect you to pay $8000+