I have high, shallow cheekbones and as I've aged, the "jowl" area of my face has become more prominent. I don't mind this so much, but I do not like the persistent lines in my nasolabial area (see picture). I get Botox for my frown lines and crows feet and love the results. Is there anything similar for this for nasolabial folds? Which treatment would get me closest to "eliminate wrinkles without adding too much volume"?
October 10, 2017
Answer: Facial volume loss 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
Helpful
October 10, 2017
Answer: Facial volume loss 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
Helpful
October 27, 2023
Answer: Severe volume loss fixes 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
Helpful 1 person found this helpful
October 27, 2023
Answer: Severe volume loss fixes 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
Helpful 1 person found this helpful
