35 and had rapid loss of volume in face over last few years. Best treatment for nasolabial folds w/ minimal projection? (photo)

Hi and thank you for your question! There is really no better option than filler treatments for nasolabial folds. The issue you mentioned about adding too much volume is really an issue of the technique and experience of the person who does the injection. Less experienced injectors tend to focus only on nasolabial folds, while more experienced cosmetic doctors place their injections strategically in other areas such as cheeks to general a nice lift in nasolabial folds. I treat several patients for the same issues everyday and my patients hardly ever see issues with over filling. As long as you work with an experienced cosmetic doctor, you shouldn't have any issues with adding too much volume. I hope it helps and good luck!

Hi @Chicago5725! Thank you for sharing your photo--hyaluronic acid dermal fillers would be a good option for you. I recommend cheek fills. This lift would soften the nasolabial folds. Additional filler to the nasolabial folds can also help soften the area. Restylane Lyft and Juvederm Voluma work great in cheeks and Restylane Defyne works great for the nasolabial folds. Best of luck, Dr. Nima!

Thank you for your question.
Total facial rejuvenation begins with a complete history and physical examination coupled with a detailed understanding of an individual's expectations. The aging process is different for everyone, some people loose more volume in their face whereas others may gain it. By looking at a single photograph taken at one angle, not evaluating other angles may not be the best way to make concrete suggestions.
Nasolabial folds are due to lack of mid face volume and hence adding filler into the nasolabial folds is not the way to correct them anymore. Factors that have been associated with accelerated volume loss include extreme athletic individuals, extreme restrictions on diet, severe sun exposure, and lifestyle habits.
I strongly recommend an in-person consultation for an individualized treatment.
Best Wishes,
Dr. Shanthala

Hi,Thank you for including a photograph. As we age, it is common to have deflation and descent of the facial fat. This problem can be compounded with rapid weight loss. In cases such as yours, the best options are to revolumize the areas most affected by the weight loss and in some instances we can use minimally invasive techniques to resuspend the sagging skin and fat. Your best and most straight forward option is to use a thicker hyaluronic acid (dermal) filler to revolumize the cheek. After this is done, you may not need anything done to the nasolabial fold area. If you want to be a little ore aggressive, you can combine the fillers with a lift using PLLA threads (Silhouette InstaLift)  which are essentially and solid version Sculptra. They are bi-conal threats that give BOTH a lift and help your body make new collagen. It would serve you well to see a facial plastic surgeon to discuss all available options.All the best,Mehdi Sina, MD

Hello and thank you for your picture.   One of the reasons for your nasolabial folds to become so prominent is the fact that your face got thinner from the rapid weight loss. Your cheeks have lost fat and support, which created the nasolabial folds.  You can definitely try filling your NL lines first with dermal fillers like Juvederm Vollure or for best results, add fillers to cheek bone area to  lift the skin and soften the NL folds.  Dermal fillers are your best, quickest and safest option.  Ultimately, I would suggest you consider Sculptra for more long term option and more for facial support rather than volume addition.  Please see an expert in your area. Best, Dr.Avaliani

Hi, Thank you for your question, I will be happy to help! First and foremost, is the weight / volume loss intentional? If not, I highly suggest you to see your family physician.Regarding the dermal filler injections, my suggestion based on my limited information of your photos, is that you would highly benefit from a combination of cheek restoration with Radiesse or Voluma and with a nasolabial fold dermal filler with Juvederm Ultra XC or Juvederm Vollure. I hope this helped clarify, thank you again for contacting us! 

From your  photos it would appear that dermal fillers would be a good option for you.  The fillers would be used in the cheek area to restore lift. This lift would soften the nasolabial folds.  You may need additional filler to the nasolabial folds as well for additional softening.  There are many different fillers that would be appropriate.  You should consult with an experienced injector who can advise you.

Gravity and volume loss stats to show on our faces in our mid thirties and if you are a thin and physically active,  the process is even earlier and more severe.  The most simple and non-invasive method to treat it would be with fillers.  From the pictures you posted you probably don't need much.  You have a great chin contour and not much submental fulness.  The initial treatment should be simple and I would address this with HA fillers like Resylane Lyft in the malar area and tear trough area as well as a bit in the NLF and temple area. The video below explains this in more detail and shows how to treat this very exact issue.  A more comprehensive treatment would include some sort of laser work to deal with fine lines,  enlarged pores and hyperpigmentation.  The good news is that you can recover the volume loss is not much time and effort.  Best from Boston,  Dr. Onir

Thank you for your question and picture. Dermal fillers are great at treating the mid and lower face to help with sagginess of the skin and volume loss that occurs with aging for a softer and refresh look. Nasolabial folds can easily be soften with fillers at the cheeks and then directly at the folds itself. I recommend seeing an expert in your area for a proper consultation and treatment plan. All the best, Dr. Michon

Thank you for your question and posting your photos. You do have deflation of the cheeks and mid-face. This is characterized by nasolabial folds that are relatively perpendicular. I would recommend using Sculptra in your situation as you have global volume loss and do not want too much volume. The results of Sculptra are gradual and long lasting (2 or more years). It is usually performed as a series of injections space anywhere from 1-3 months apart. This would allow you to achieve your goal of not too much volume as you could reassess and decide when you have achieved your desired level of correction.I hope this was helpful - Dr. Moore.