Hi, I'd really appreciate a response, as I can't find any helpful information online.I'm 26 and am concerned about changes in my face over the past 3 years, as people keep asking me if I'm sick (I'm not). I have nasolabial folds that are, for lack of a better term, 3-dimensional, and above them there are very noticeable indentations in my cheeks. They show up very clearly in the attached pics and make me look very unhealthy for an otherwise healthy guy of only 26. Any advice appreciated.
"3 Dimensional" Nasolabial Folds with Indented Cheeks
Doctor Answers 7
Filling the cheek fat pad
It looks more like you are deflated in the mid cheek region as opposed to the nasolabial fold. This can be treated with fillers or fat.
Treatment of Prominent Fat Loss / Absence in the Cheeks
Your do not have a Nasolabial fold anomaly but loss of fat in the cheek pad. This can be corrected with several sessions of fat grafting or of Sculptra treatments.
You appear to have a low fat content to your face, and probably overall. This is accentuate when stone-faced since the muscles go lax. If your cheeks fill out when you smile a bit, then usually perform a subperiosteal midface intraoral lift and eversion (SMILE) procedure. If it is still inadequate other volumizers like implants or fat grafting can be contemplated.
Robin T. W. Yuan, M.D.
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The groove that is evident is the midcheek groove.
You have a very thin face and are missing buccal fat volume. Fillers are an excellent option for this and do not require surgery. Although expensive, you might consider Sculptra give the extensive nature of your volume deficiency.
Treatment for submalar deficiency
Prominent Nasolabial Folds vs. Facial Volume Deficiency
Deficiency of Mid-Face Volume
While the appearance of your nasolabial area has you focused there, the real problem, and the reason it looks "3-dimensional" to you, is that you have a relative lack of volume in the mid-face area.
This is easily improved with fat grafting, and even more easily with Sculptra, an injectable volumizer than can be placed under local anesthesia and which can be expected to last a very long time.