Do I need fillers for my nasolabial folds or is it my cheeks causing shadow? (Photo)

Question

Hey so I have these deep laugh lines that I believe could be flattened out. What do you see? These laugh lines are aging me Well past my age and it's upsetting. Thank you

Nima Shemirani, MD · Answer

Hi @Ianadelrey. I would suggest you consider hyaluronic acid dermal fillers like Restylane Defyne for your nasolabial folds/laugh lines. Always seek treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima!

Best of luck,

Dr. Nima!

Jason Emer, MD · Answer

I recommend fillers to 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

Onir Spiegel, DDS, PhD · Answer

If your NLFs seem too strong and pronounced think about filler injections in the cheeks (malar eminence).  In most cases injecting a stronger HA like Restylane Lyft or Voluma can give you just the result you want.   More often, it's a combination of various injections and layering a softer HA like Juvederm Ultra or Restyle Defyne in the NLF area after injecting the malar eminence.  
Good luck!

Shaun Patel, MD · Answer

A filler such as Juvederm UltraPlus could be used to soften the nasolabial folds. Men, like women, lose volume in midface, and this lost volume can be replaced using a filler such as Juvederm Voluma, Restylane Lyft, Radiesse, or Sculptra. In your case, I would probably start with filler injection directly into the nasolabial folds.

Shelby Bentz, MD (retired) · Answer

Hello and thank you for the helpful pictures.  Deep nasolabial lines are caused by loss of volume in the mid-cheek region.  When using filler in the face, the cheeks should always be corrected first and then the nasolabial or marionette lines (you do not have these).  In the male face, cheek correction is made in the mid-cheek area almost exclusively and not extended laterally as this feminizes the face.  After re-establishing the mid-cheek, then additional filler could be placed in the nasolabial fold to soften that area. Best wishes!  Shelby Bentz MD

Do I need fillers for my nasolabial folds or is it my cheeks causing shadow? (Photo)

Answers (5)

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