32, female, nasolabial fold boosters vs fillers? (Photos)

Question

Hello! I am a 32-year-old woman who has previously tried tear trough/mid cheek fillers due to facial volume loss which has been building up gradually since my teens. I work long hours and sleep on the L side of my face which is starting to translate in the form of pronounced nasolabial folds (L more than R). I have been advised by one doctor to try a booster, and by another that only fillers would work. I have tried cheek filler to lift the area but it did not work. What would you recommend?

Anna Chacon, MD, FAAD · Answer

Both products are made of hyaluronic acid, however a filler is a thicker solution, with strong cross links and a skin booster is more water based with the ability to spread and encapsulate moisture in the skin. Often patients benefit from both a filler to shape and lift, and a skin booster to smooth and hydrate.

Jason Emer, MD · Answer

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

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