Nasolabial fold and fold going from inner corner of the eye over the cheek - are fillers my only option?

Fillers soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

What you have is a normal variant of the orbital ligament attachment. Instead of a single one attached all the way across along the edge of the orbital rim, you have a double one with the medial one traversing down the malar bone dividing the muscles that attach below the rim. Correction of the resultant depression requires volume with either a filler like JUvederm Voluma or fat. Make sure you see an injector who is an expert in this area and knows the anatomy intimately as most injectors do not understand this area.