How to fix nasolabial folds, puffiness around mouth? (Photos)

Great question, and thank you for providing these photos. Dermal fillers can help smooth the nasolabial folds around your nose and mouth. You might also benefit from some filler in the cheeks to add lift and definition to the midface. Skin tightening treatments, such as Profound RF microneedling, may also firm and tighten your skin for smoother results. I would recommend scheduling a consultation with a board-certified facial plastic surgeon who can create a customized treatment plan that addresses your nasolabial folds and the tissue around your mouth.

these folds are because of your facial shape they will always be there even with fillers, threads, morpheus. you need a comprehensive evaluation.

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.

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 good option to help smooth and soften the lines.
I hope that helps, please always a seek a qualified and experienced practitioner for any cosmetic treatment, best wishes