What can cause such a sudden increase in nasolabial fold at 21? What to do to fix it? (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 @Terrific899. You can get hyaluronic acid dermal fillers into the piriform fossa to help soften the nasolabial folds. Restylane Defyne and Refyne work great in this area. Best of luck, Dr. Nima!

It is unnatural to have no nasolabial crease. Yours does not appear excessive. I suggest starting with a good skin care regimen to add clarity and tone with a deep pore cleanser, toner and exfoliation and sun screen as basics. You can consider a chemical peel, microdermabrasion or even microneedling with or without PRP to freshen your skin's appearance and a glow.