Deep smile lines/nasolabial fold (Photo)

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

Hi dear nasolabial filler can help you to fill them, it will stay 9-12 month and you should do it again

Thank you for your question and photos. Dermal fillers are an ideal treatment for reducing the appearance of smile lines, or nasolabial folds. These hyaluronic acid formulas restore volume to smooth lines and promote a more youthful appearance. I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to assess your concern and determine the best treatment option to help you achieve your aesthetic goals.

I'm sorry that you were disappointed with microneedling and with the Morpheus treatments. However, I am not surprised. Microneedling, which I have been professionally performing for over twenty-three years, is best reserved for treating very superficial, skin surface textural and color irregularities; it is not particularly effective for deeper etched-in lines and folds. And I have been cautioning my regular followers for years now about exercising a very healthy dose of buyer beware when considering throwing out their money on so many of the "bells and whistles" light and energy based devices being hawked out there as these unfortunately are backed by a whole lot of marketing and social media hype and little hard science. Sorry, again. At least from the couple of photos provided, a robust HA filler in the cheeks would help to create a more oval, heart-shaped face and secondarily--by providing a lift-- improve the depth of the nasolabial folds; for the already etched-in creases, a low viscosity, malleable, cohesive HA filler injected more superficially can elevate and smooth these. Make certain to consult with a board certified cosmetic dermatologist and be sure to ask to see his/her personal before and after photos of treatment of this kind of problem. And be cautious going forward if offered some other expensive, "next big thing" fraxel or RF device. Hope this helps and best of luck.

Hi there,

You are the perfect candidate for fillers. Have a consultation with a Board Certified Injector to discuss your volume loss and your expectaions.

Best of luck

Thank you for your question and photograph. Nasolabial fold lines are partially caused by contraction of your smile muscles. Also loss of volume in the mid face or cheek region allows the cheeks skin to sagged downward and create the nasolabial fold of skin.

Restoring a midface volume with filler injections in the mid face or zygoma region in my experience is the most effective way to improve nasolabial folds because this procedure lift the cheeks skin back into the midface.

If in my experience injecting fillers into the actual full
Is not effective.