35 years old - What procedures are there to help with my deep nasal folds? (Photos)

Hello @thien0403 thank you for your question. My point of view is very different, it would be a less aggressive approach in which I suggest you to think about non-surgical treatments that improves the cheeks Ultherapy, fixer even plasma gel to generate volume without fillers. Another option is to remove heaviness from the cheeks by performing a bichectomy to refine your cheekbones and weight from the cheeks. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Dear thien0403,
Thank you for sharing your photos. In the non-animated photo, you have a natural separation of your (upper) nasolabial and (lower) marionette folds and passive crease as the upper and lower cheek slide toward the nose and chin. While smiling, the zygomaticus or cheek muscle group pulls on the lateral upper lip and modiolus, shortening and lifting the upper lateral lip. This “tucking effect under the skin and fat, deepens and lengthens the fold(s) actively.
Visual skin laxity begins when normal collagen restoration diminishes and gravity pulls the tissues downward, deepening these folds and adding to the jowl and the softening jawline.
Options as you have partially stated include:
1. Consult with a talented and artfully skilled Board Certified Plastic Surgeon.
2. Injectables to soften the folds directly.
3. Threadlift to pull the sliding skin upwardly.
4. Sculptra skin tightening
5. Sub-malar/jowl/jawline mini-lipo-contouring with upper central cheek fat grafting.
6. A mid-face lift would require an incision in the eyelid lifting the mound of the upper central cheek with minimal or no effect on the lower cheek/jowl/jawline.
I hope this helps. All the best!