Nasolabial folds or hyperpigmentation? Would fillers help this? (Photo)

Question

The part around my mouth is my BIGGEST insecurity and I have no idea how to get rid of or improve it. I don’t know whether it’s nasolabial folds, hyperpigmentation or both? Would fillers help this? Lightening? Please help! Pictures for reference.

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

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results. 
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

Leslie Pickens, MD · Answer

I like to start my patients on a good skin care regimen to obtain and maintain healthy appearing skin which is uniform in color.  That in itself gives a more youthful appearance.  In addition a thorough evaluation of the entire face from hairline to neck helps to determine how to balance the entire canvas of the face.  It is not always best to treat one part of the face in isolation. There appears to be some volume loss in the face which may benefit from any number of fillers with or without PRP (Vampire Facelift) which can give a natural and restorative appearance.

Vibha Gambhir, MD · Answer

Hello and thank you for your questions.  For around the mouth,  a filler called vollure (HA filler, lasts 8-9 months) can be placed in the folds around the mouth, corners of the mouth and chin area.  This will help soften lines and decrease the amount of shadowing through the chin area.  It is hard to tell by your photos if there is hyperpigmentation as well.  Try using a skin brightener like Lytera, it is used 2 x a day to help brighten and even skin tone.  It is made with natural ingredients and is better for your skin then hydroquinone.  Be sure to go to an expert, experienced injector that listens to your wants and expectations.   Good Luck to you, hope this helps.

Chad Robbins, MD · Answer

Hello and thank you for the photo's and question.   You appear to have an olive complexion and have some hyperpigmentation.  You can try 4% hydroquinone twice a day to help lighten . Fillers would help as well to soften the lines.

Jo Herzog, MD · Answer

Yes, you might have some nasolabial folds but is this what is bothering you? Without full face photos hard to say what to do about that but filler in cheeks usually best approach. I am not sure that your NLFs bother me. I think that I would focus on the crease below your chin and the proportions of the lower third of face but that again might change with full face photos.

Shaun Patel, MD · Answer

It's hard to tell based on these photos but there does appear to be some volume loss which would respond to filler treatment. I would also start you on a skin brightening regimen.

Nasolabial folds or hyperpigmentation? Would fillers help this? (Photo)

Answers (7)

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