Would cheek or nasolabial fold filler be best for treating nasolabial folds? Age 34 (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

Nasolabial folds are as a result of loss of volume in the fat pads of the cheek. My approach is to start with temple fillers if there is temple hollowing, and this will raise the cheek and soften the nasolabial folds. If there is no temple hollowing, then I would use cheek filler to give a natural contour of the cheek which may in itself soften and raise the nasolabial folds. If this is not enough, I would carefully add a small volume of filler to the nasolabial folds or use some PDO’s in the folds.Most important is to make sure that there is a good natural lift to the cheek which if done properly should soften the nasolabial folds enough.