Nasolabial folds - suggestions to soften the area? (Photos)

Hello!Thank you for sharing your photos and detailed background.
In your case, while fillers can provide a temporary improvement, a surgical approach would offer more long-term, natural results.A cheek lift (midface lift) would be ideal to address the nasolabial folds by repositioning the descended cheek tissues back to their youthful position, rather than simply adding volume.I would also suggest combining the cheek lift with fat grafting to restore lost facial volume and improve overall contour in a very natural way.
Additionally, addressing upper eyelid laxity (upper blepharoplasty) and possibly a subtle brow lift would further rejuvenate the upper third of your face and enhance the harmony of your results.
Of course, a personalized consultation is key to tailoring the treatment plan based on your goals and anatomy.Wishing you the best on your journey to feeling and looking your best!

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center. RADIESSE can be a great option for someone who tends to metabolize hyaluronic acid fillers quickly, as it typically lasts longer. When it comes to softening nasolabial folds, treating the cheeks is often a key part of the approach. Volume loss in the midface can make these folds appear deeper, so by restoring lift and structure in the cheeks, we can help soften the folds indirectly and naturally. To ensure the best results, it’s important to consult with a skilled provider who can assess your unique anatomy and goals and create a customized treatment plan tailored just for you.

NasoLabial implants are nice to fill in deep NL grooves and is done under local from inside the mouth. There is no allergies to them and they look natural. If you want a temporary treatment, then I recommend Radiesse or RHA4 filler.

Hi Chewnike!
You need volume in your midface (specifically your zygomatic cheeks to lessen the appearance of your tear troughs) and into your pyriform fossae. Only go to an experienced board-certified dermatologist or plastic/oculoplastic/ENT for this as the technique & placement is advanced.
Hope this helps! The doctor and training/experience of the doctor is WAY more important than the choice of which injectable to use.
Dr. Kiripolsky

The mid-cheeks are a major structural support for the lower face, including the region of the smile folds. At least from the photos provided there appears to be volume deficit in the cheeks, which if addressed with the use of a robust HA volumizing filler properly injected by an experienced injector would not only revolumize and recontour the cheeks, but via the lift that is achieved from the filler treatment would secondarily Improve the smile lines very likely without the need for any direct treatment of that region.
In expert hands, the treatment sessions would take about fifteen minutes and typically with immediate, on-the-spot results. With an appropriately robust volumizing filler, the results usually last about eighteen months.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector expert, and best of luck.

When considering treatments to soften nasolabial folds, there are several options and factors to take into account. Here are some suggestions and considerations:

Filler Options:

Hyaluronic Acid Fillers: These are commonly used for nasolabial folds and include products like Juvederm and Restylane. They are versatile, safe, and can provide a natural look. If you metabolize fillers quickly, you may need more frequent treatments.
RADIESSE: This is a calcium hydroxylapatite filler that can provide more structure and longer-lasting results, as your doctor suggested. It's often used for deeper folds and can stimulate collagen production, which might be beneficial if you metabolize fillers quickly.
Consider Facial Balance:

Some practitioners suggest addressing volume loss in adjacent areas, such as the cheeks, to provide lift and reduce the appearance of nasolabial folds indirectly. Enhancing cheek volume with fillers can create a more youthful contour and soften the folds naturally.
Alternative Treatments:

Sculptra: This is a poly-L-lactic acid filler that works by stimulating collagen production over time. It can provide gradual and natural-looking improvement.
Thread Lifts: These can offer a non-surgical lift to the mid-face area, helping to reduce the appearance of nasolabial folds.
Laser Treatments or Microneedling: These can improve skin texture and stimulate collagen production, potentially softening the folds over time.
Consultation with a Specialist:

It's essential to work with a skilled and experienced cosmetic dermatologist or plastic surgeon who can evaluate your facial structure and skin type. They can recommend a personalized treatment plan that considers your aesthetic goals, previous experiences, and the specific characteristics of your skin.
Lifestyle Considerations:

Maintaining a healthy lifestyle, including a balanced diet, adequate hydration, and sun protection, can also help improve skin quality and prolong the effects of cosmetic treatments.
Ultimately, a tailored approach based on a comprehensive evaluation by a qualified professional will yield the best results.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Thanks for sharing all that—your experience and the conflicting advice you’ve gotten is actually really common when it comes to treating nasolabial folds. These lines can be a bit tricky to treat directly with filler because of the way the facial structure changes with age. When we lose volume in the cheeks, everything starts to sag a bit—kind of like a tent losing its support poles. By lifting and contouring the cheeks with filler, you can often soften the nasolabial folds indirectly in a way that looks much more natural. Hyaluronic acid fillers are commonly used for cheek augmentation and can give a lifting effect that improves the folds without having to fill them too aggressively. I hope this helps and best of luck!

From your photos you will likely have the best result from a combination of treatments. You can consider fillers to the cheek area to help support the nasolabial folds. If you metabolize fillers quickly you may want to look into Sculptra. Another option is Renuva. This product is similar to traditional HA fillers in that you get some immediate effect. It differs however because over time your body replaces the product with your own fat to give you longer lasting results. You can add Morpheus8 treatments which combine RF technology with microneedling to improve overall skin tone and texture.