Early sign of sagging face and nasolabial folds at the age of 30

Question

I have noticed that my nasolabial getting worse and worse over the past three years. It is extremely obvious when I get up in the morning. My sleep quality is really poor. My questions are: 1. Is it because the fat on my face that makes the lines so obvious? I have very unhealthy lifestyle and poor sleep... 2. What would be the most suitable way to correct it? Juvederm? Laser? Thermage?

Asif Pirani, MD, FRCS(C) · Answer

Are you able to post some photos so that we can see what you're trying to describe?  That way we can provide useful commentary.  All the best.The foregoing information provided is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only.You assume full responsibility for how you choose to use this information.Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition.

Jason Emer, MD · Answer

You likely need a combination approach with lasers, fillers, skin care and skin tightening.  Best, Dr. Emer.

Catherine Winslow, MD · Answer

Hello! You are still quite young and it is most likely that filler will help your folds, which do tend to deepen with age. I would recommend that you consult with a facial plastic surgeon to evaluate options, and don't forget to protect your skin with sunscreen!

Nelson Castillo, MD · Answer

Thank you for your question. Without a full series of photographs it is difficult to offer you the best treatment recommendation as it may require a multidimensional approach - improvement in hydration, initiation of a good skin care regimen, lifestyle modification with improved sleep, filler placement into cheeks, or filler placement into nasolabial folds. See a board certified plastic surgeon in consultation. They can best help advise you.

Renuka Diwan, MD · Answer

Nasolabial folds can appear at your young age either as a result of significant weight loss and / or genetic factors, assuming your skin is normal. Unfortunately, there are no photographs of your face to view.  I would recommend treatment with a robust hyaluronic acid filler such as Juvederm Ultra Plus or Restylane Lift (that can resist the forces on the filler from smiling, better than other fillers). There may also be some benefit from injection of Juvederm Voluma in the upper cheeks, close to the lower eyelid and cheek bone. Please see a board-certified cosmetic dermatologist, dermatologic surgeon or an esthetic plastic surgeon for an evaluation to determine where the problem lies and the best treatment or combination of treatments for you. I don't think laser treatments or Thermage will provide as good a result as the right fillers. Best,Renuka Diwan,MD

Manjula Jegasothy, MD · Answer

The first line treatment for heavy nasolabial folds are a robust filler such as Juvederm UP XC or Restylane Lift®.

Ariel Ostad, MD · Answer

Thank
you for your question. As we age we notice our lines and wrinkles become more
prominent due to a combination of factors such as aging lifestyle, nutrition,
skin care regimen and hydration. To correct the signs of aging on the mid-lower
face, I recommend having hyaluronic acid fillers. Fillers are safe, and
instantly provide the necessary volume to enhance your appearance. Patients in
my office love the results with Juvederm to improve their nasolabial folds.
This procedure has no downtime and the results last up to 9 months. Another
option for facial rejuvenation is Voluma. This hyaluronic acid filler is
injected into the cheeks, and instantly lifts sagging jowls while improving the
deepening of the nasolabial folds. Voluma is a long lasting filler that lasts
up to 2 years and has no downtime.

Michele S. Green, MD · Answer

The best advice would be a combination of Thermage and Juvederm Voluma injections into the mid-face (cheek).  Healthy life style, sunscreen, and rest, all help as well.  Please feel free to post your photo for a more in depth analysis.  Best, Dr. Green

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  Deepining of nasolabial folds can be due to numerous reasons.  Pictures would be very helpful.  Typically combination approaches using mid face volume restoration and ultherapy would be the most beneficial treatment for nasolabial fold deepening.  Regards, Dr. Matt Elias

Hratch Karamanoukian, MD, FACS · Answer

Pictures are very helpful in providing guidance.Skin laxity can be treated with noninvasive procedures like Ultherapy - see the link below.Early age volume loss is possible if you have a genetic predisposition or unhealthy lifestyle.Combination treatments with volume fillers (Radiesse and Sculptra) and treatment for facial laxity (Ultherapy) as well as laser resurfacing and microneedling can help rejuvenate your facial features.Dr Karamanoukian

Early sign of sagging face and nasolabial folds at the age of 30

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