I have severe nasolabial folds at 27, any suggestions? (Photos)

Hi Loving,

You have a very sweet smile, which is always the best form of plastic surgery! Just by turning the corners of your mouth upward changes the entire dynamic and appearance of your face. I would treat you with a combination of Sculptra injections and Ulthera which can both be performed at the same treatment session. I would also inject a small amount of Juvederm in the corners of your mouth to change "the sad to glad." Make sure to choose your treating physician most carefully as results of the treatment will certainly vary depending on who is treating you. Good luck and be well, smile!

Dr. Persky
Encino, CA

Hi @Loving756761! You would get great benefit from dermal filler in your piriform fossa and nasolabial folds. Another great alternative would be Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Folds can be improved with filler put laterally in the cheeks to pull the tissue back in place and then a little in the nasal corners for lift. It depends on if you want to regenerate collagen or if you just want instant smoothing. Skin tightening with a laser may also firm up the tissue enough.

fillers, morpheus, threads can all help. you may want an early face/neck lift if you feel you want more improvement.

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.

I think fillers in your nasolabial folds and cheeks would be helpful in your case. As well, microneedling with RF (radio frequency) or other skin tightening would likely be helpful too (eg. Forma, Morpheus8, Ulthera, Thermage). See your local dermatologist for a personalized treatment plan, and for optimal results & safety.

Hi love,
Everything you are noticing is totally normal. The nasolabial folds are caused by multiple factors: skin laxity related to decreased collagen & elastin production, structural changes related to bone resorption, and skin quality reduction.

Hello and thank you for your question. We always recommend a face-to-face consultation for advice however from what you have provided here filler would be a god option to help lift the face and soften areas of concern.
I hope that helps, please always a seek a qualified and experienced practitioner for any cosmetic treatment, best wishes