Can I treat my nasolabial fold shadow with fillers or a plasma pen? (Photo)

Question

Hi I am 26 years old and I don’t actually have the fold it seems like I can’t feel it but recently I have noticed the lines it’s more of a shadow and it’s pretty dark sometimes I feel like it makes me look sick or like a smoker I don’t know if I need fillers or may be a plasma pen or what can help lighten these lines I want to protect my youth as long as possible. Sometimes it’s not so dark sometimes it’s very dark and I really don’t like it I’ve had a light shadow probably since early 20s

Jason Emer, MD · Answer

folds need morpheus, fillers, and threads. yes plasma pen can help but will not give you the biggest change.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

In general, treating the upper outer cheek with a more robust filler, such as Voluma XC or Restylane Lyft, is typically the answer to not only improving age-related volume loss in the cheeks, but also to improving secondarily the development of smile lines,  However, at least from the photo provided here, it does not appear that there is significant cheek volume loss. If this is indeed so, then directly treating the smile lines with a less robust filler, such as Belotero Balance, would seem to be the most logical, efficient and cost-effective approach. You would be wise to be sure to consult with a board certified aesthetic physician with experience and expertise and be sure to ask to see his/her personal before and after photos of smile line treatment with fillers. Best of luck.

Michael A. Persky, MD · Answer

Hello Jamie Sue,
I would avoid using an aggressive treatment such as plasma pen for your naso- labial groove.  Instead I would treat you with 1 syringe of Voluma in your cheeks above the fold which will correct your concerns.  It is essential that you choose your expert injecting physician very carefully.  Good luck and be well.
Michael Persky, MD
Encino, CA

Dmitriy Schwarzburg, MD · Answer

A filler like Juvederm will eliminate the appearance of your nasolabial folds. You likely would only need one syringe to get a nice result. Consult with your doctor to confirm which filler is good for you!

Can I treat my nasolabial fold shadow with fillers or a plasma pen? (Photo)

Answers (4)

Answer: You can get a filler

Answer: You can get a filler

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Can I treat my nasolabial fold shadow with fillers or a plasma pen? (Photo)

Answers (4)

Answer: You can get a filler

Answer: You can get a filler

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.