What is the best for mild nasolabial lines? (Photos)

Question

I have mild nasolabial lines , I am in my mid 30s. This is probably due to the fact I have a flat midface naturally but it makes me look tired. I have been looking at dermal fillers and radiesse as options but also wondered whether EndyMed FSR (Fractional Skin Resurfacing) that combines 3DEEP RF with micro-fractional ablation as first point of call to smooth and lift my face. There are 100s of answers on google and each practitioner has different ideas, so its confusing to navigate.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Given your mild nasolabial lines and the understanding that your flat midface contributes to a tired appearance in your mid-30s, addressing the volume deficiency in your cheeks is likely the most direct way to improve the appearance of these lines. Dermal fillers, particularly hyaluronic acid-based fillers, are an excellent option for restoring lost volume in the midface, which in turn can provide support to the skin above the nasolabial folds, softening their appearance. Radiesse, a calcium hydroxylapatite-based filler, is another option that not only provides immediate volume but also stimulates collagen production over time, potentially offering a longer-lasting effect. Fractional skin resurfacing that combines 3DEEP RF with micro-fractional ablation is a different approach that focuses on improving skin texture and stimulating collagen production through controlled skin injury. While this can lead to some skin tightening and overall rejuvenation, its primary mechanism isn't volume replacement. For your concerns, dermal fillers like hyaluronic acid or Radiesse are likely to provide more immediate and noticeable improvement by directly addressing the volume loss in your midface. I hope this helps and best of luck!

Anna Chacon, MD, FAAD · Answer

When addressing mild nasolabial lines, especially in the context of a naturally flat midface, there are several treatment options to consider. Each has its own benefits, and the best choice may depend on your specific facial structure, desired outcomes, and the advice of a qualified practitioner. Here’s a breakdown of the options you mentioned:

Dermal Fillers
Hyaluronic Acid Fillers: These are commonly used to add volume to the nasolabial folds and can provide immediate results. They are a popular choice due to their safety profile and reversibility. Brands like Juvederm or Restylane are often used for this purpose.

Radiesse: This is a calcium hydroxylapatite filler that provides structure and volume to the face. It also stimulates collagen production, which can lead to longer-lasting results. Radiesse is thicker than hyaluronic acid fillers and may be suitable for deeper nasolabial folds or for adding volume to the midface.

EndyMed FSR (Fractional Skin Resurfacing)
3DEEP RF with Micro-Fractional Ablation: This treatment combines radiofrequency with fractional ablation to improve skin texture, firmness, and elasticity. It can be effective for mild lines and overall skin rejuvenation. This option is less about adding volume and more about enhancing skin quality and tightness.
Considerations
Combination Approach: Sometimes, a combination of treatments can yield the best results. For example, using fillers to add volume and EndyMed FSR to improve skin texture and firmness.
Consultation is Key: The best way to determine the most suitable treatment is to consult with a board-certified dermatologist or cosmetic surgeon. They can assess your facial structure and provide tailored recommendations based on your aesthetic goals.
Ultimately, the choice between fillers and treatments like EndyMed FSR depends on whether you are looking to add volume, improve skin texture, or both. A professional consultation will help navigate these options and develop a personalized treatment plan.

Camille Cash, MD · Answer

You are correct that there are numerous options for you.  Often the best results will come from a combination of treatments.  Fillers to the cheek area can help lift and soften the nasolabial folds.  Treatments such as Morpheus8, lasers, and peels can address skin tone and texture to improve the overall look.  We also recommend using medical grade skin care products like Transform MD and using sunscreen every day.

Leonard Grossman, MD · Answer

You can have a small amount of filler used to fill those nasolabial folds out but definitely do not have any of the energy devices used on you or they will definitely age you six months later. I hope this helps and good luck from organic Plastic Surgery NYC

What is the best for mild nasolabial lines? (Photos)

Answers (4)

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