How to reduce deep nasolabial folds at 20? (Photos)

Question

I'm only 20 years old, and because of my facial structure I've always had smile lines. Since I turned 17 they've gotten worse and cause me a lot of insecurity. I can't even wear makeup without all of the foundation creasing badly. I just want a smooth face like everyone else my age, and I would like to know how I could accomplish this. Would a filler like juvederm help, or is there some other treatment that I could try?

Catherine Winslow, MD · Answer

Hello! Yes, a hyaluronic acid filler certainly will improve your folds. While these are temporary, they do last a year or more, depending on the filler chosen. Choose an experienced injector with a track record of patient satisfaction (such as Allergan ACE injector certification). Good luck!

Miguel Delgado, MD · Answer

Juvederm's newest filler Vollure a hyaluronic acid is a great filler for the nasolabial folds and lasts up to 18 months. Be sure to contact a Board Certified Plastic Surgeon who will be able to give you all of your possible options. Good luck!

Christopher V. Pelletiere, MD · Answer

Fillers such as Juvederm or Restylane would be your first step.  They are easy to do, require no recovery, and provide nice results.  Eventually you may go towards fat grafting since this can be a better long term option, but start with a filler and see how you like it.  I hope this helps.

Sammy Sinno, MD · Answer

Even at a young age, based on individual anatomy and genetics, it is possible to develop "smile lines" or deepened nasolabial folds. Fillers such as Juvederm or Restalyne are excellent choices. Injecting these products in a younger patient such as yourself, in my opinion, is very different than injecting into an older patient who is more deflated with deeper creases. It is important in a young patient not to use too much product and be more subtle so as not to create an abnormal appearance when smiling; often times less is more.

Janet Turkle, MD · Answer

thank you for your question. It appears that one of the facial filler products would help to reduce the appearance of the folds that concern you. The hyaluronic acid products--Juvederm, Restylane, Volbella, etc are excellent choices as they will provide immediate resolution and are reversible. Please seek consultation with a board certified Plastic Surgeon who has experience with the injection of dermal fillers. Best of luck to you!

Bruce E. Katz, MD · Answer

Thank you for your photos. We usually use Voluma or Sculptra to treat
nasolabial folds.  Juvederm
is a very injectable filler that is used in for areas of the body where
additional volume is desired such as nasolabial folds. It is difficult to tell
without a in person evaluation. I recommend getting a in person consultation
with a board-certified dermatologist.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question cerezita123. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. It is difficult to make an assessment without seeing the entire face. This is because if there is volume loss in the mid-face, fillers such as Voluma can be placed there to pull up on the lower face and improve the nasolabial folds. Juvederm and Vollure work well when placed directly in the folds. Please consult with a doctor for specific recommendations. Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  It's difficult to make exact recommendations without assessing you in person, but based on your photos, you would likely be an excellent candidate for filler injections.  Juvederm is an excellent option in this area, as is one of the newer fillers on the market, Vollure.  Vollure is a little bit softer than Juvederm, and I find that it provides a very subtle and natural result.  It also lasts up to 18 months, making it one of the longest lasting hyaluronic acid fillers available.  I would recommend scheduling a consultation with a cosmetic dermatologist to discuss your options and to determine the best treatment plan for you.  Best of luck!

Camille Cash, MD · Answer

Filler is a great treatment option to help correct your concern.  The wonderful thing about fillers is that you can progress slowly to achieve the look you desire.  If you are unhappy for some reason, this product can be dissolved as well.  I encourage you to meet with an experienced injector to discuss your treatment goals.

Christopher Dannaker, DO, MPH, FAAD · Answer

The picture makes it appear as though there is significant perioral pigmentation.  If present, evening the skin tone will help increase reflectivity and reduce the appearance of the folds.  The mid cheeks are not fully exposed in your picture but if you do have low mid cheek volume, which could be from genetics or being extreme thin/low BMI or body fat, then injection of a hyaluronic acid filler designed for the cheeks might also lift and minimize the fold.  Injection directly into the fold may also be helpful if the cheek volume is adequate.  Any number of fillers are available for this purpose, none stand as superior to any other, it's more important to go to a physician specialist.

How to reduce deep nasolabial folds at 20? (Photos)

Answers (14)

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