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In my opinion, the best treatment for nasal labial folds is with fillers. Fillers are precise, predictable, and quite forgiving. Fat transfer is not particularly good. Forgiving volume in very small, precise areas. It works better for giving diffuse overall volume. Facelift is not a good treatment for just nasal label folds and can make your folds deeper. This is particularly true if someone has a SMAS type facelift.I suggest finding one of the most talented filler providers in your community and try that.Best,Mats Hagstrom, MD
Have you had any radiofrequency? That can sometimes melt fat and make one look older. Yes, fat transfer can restore faces to an earlier age. Do be sure to see someone with a lot of experience, since FFG is more of an art than science.
It has been our experience in over 25 years of use of fat grafts for periorbital rejuvenation that graft take is around 30% in average. This means also that fat grafts do not take equally in all areas. Secondary grafting is done in probably 20-30% of patients 8-12 months after first procedure....
I'm not sure imaging would help in this case. This is extremely thin skin and you likely have some fat which has become scarred. It could be removed if it bothers you.
In very selective cases fat grafting of the upper eyelids may be a good option. However, that requires a true expert otherwise you may end with bad result. Start searching for such a surgeon and be very thorough in your research. Good luck.
Fat grafting would work well to correct the depressions on your cheeks . The fat needs to be injected directly into the skin which requires micronizataion It may also take 2-3 treatments
You could benefit from facial fat transfer or filler (like Renuva who promotes fat growth very effectively). Best of luck !