Nasolabial fillers or facelift at 32? (Photo)

Hello! Definitely fillers, you do not seem to have enough sagging to justify the expense or potential complications of facelift. I would recommend considering fillers in your cheekbone area as well to improve the overall balance of your face. Choose a skilled injector who is very experienced (i.e. Allergan Diamond or Black Diamond with an ACE injector). good luck!

Thanks for your question. I
understand your frustration with your nasolabial folds, as these do often have
a hereditary component and can be very difficult to avoid. I think you'd be a
great candidate for injectable fillers, because your face is in overall good
shape otherwise. A facelift would simply be too much for you at this point.
Although fillers are long-lasting, their results will ultimately fade. This
means that, at any point in the future, you can choose to continue using them
or "move up" to surgery with ease. Please see a board-certified
plastic surgeon for your fillers to ensure the best possible results.

Fillers can often work wonderfully to diminish the appearance of nasolabial folds. Make sure you see a board-certified facial plastic surgeon with experience placing fillers for the best result. While age is not the primary concern when considering a facelift, 32 is fairly young and it’s doubtful you have the amount of skin sagging necessary to warrant a full facelift.

Fillers are the best option for you and definitely are very effective in improving the appearance of nasolabial folds.  Hope that helps -

Hello! Thank you for your question! I hope that these answers help! The facelift procedure is an excellent method for shaping the face and create a sculpted face and jawline as well tightening the laxity of your skin and soft tissue. This will rid much of the wrinkles and laxity while adding volume to your face which has been lost with normal facial aging. It is a popular procedure for facial rejuvenation and restoration of a more youthful and invigorated appearance that will last for several years. Women of all ages are candidates for these surgical procedures. There is a trend for younger patients to do smaller procedures at earlier ages and maintain the appearance, rather than a drastic result later in life which is very noticeable. Given your photos, I believe that nonsurgical methods will likely give great results before consideration for an actual facelift.  Good skin care regimen as well as fillers or fat grafting will likely meet your expectations. Adjunct procedures such as a peel and/or laser will accentuate the results.You should consult with a plastic surgeon well-versed with facial aesthetic surgery at anytime to go over options in order to assist you in deciding which procedure(s) would be right for you. Best wishes!

Hi!Thank you for your question and photos. You are young and in general you do not have other signs of aging and sagging. I  would strongly recommend fillers or fat grafting. It would be better to have either of those to your nasolabial folds and also cheek area to optimize your face and especially mid face proportions. Best Wishes

Numerical age is not the major factor in determining whether non-surgical vs. surgical facial rejuvenation should be performed. Your facial anatomy and physical signs of aging are really at the forefront of that recommendation. Based on these limited photographs and your age, you are a great candidate for cheek augmentation with fillers as well as nasolabial fold fillers following the cheek filler. In the end, I would suggest consulting with a facial plastic surgeon or plastic surgeon for an evaluation in person. A doctor that only does fillers would bias you in that direction. The decision on which route you will combat aging is up to you, so you should weigh the pros and cons of each option.

You are young and have some midface descent that adds to the NL fold appearance based on the photos you present. Fillers would be a good first step that will lessen the NL folds. If you are not happy with that, then a mid face lift would help. I favor doing these with goretex sutures and pledgets as popularized by Dr. Sasaki. Look elsewhere for your feelings of not being taken seriously. Talk to a professional counselor if they become overwhelming.Dr. J

Thank you for your photos.  I would recommend a mid-face lift, it will give you volume in the cheek bone area.  It is something to use as a minimally invasive to give you the lift you want.  You can always use fillers, such as fat transfer, and or on the shelf product to correct the residual volume where you need it.  I would definitely sit down with a board certified plastic surgeon to discuss the mid-face procedure, and also take a look at some of the before and after pictures of patients that have undergone the procedure.  Good luck

Your particular findings result mostly from volume loss in the upper third of the face.  Treating the nasolabial folds directly will not give you a great aesthetic outcome.  In my practice I would recommend pan facial fat grafting which would allow me to address details of your face from top to bottom and create a lifted appearing cheek blended eyes and ablate the folds.  Fillers will get very expensive so unless you have a very high budget this is probably not the best route.  I hope this helps!All the best,Rian A. Maercks M.D.