How to fill sunken nasolabial folds and improve side profile? (Photo)

Question

I added photos taken a couple weeks apart in different lighting. I'm really concerned with my prominent nasolabial folds and the sunken tired look it gives me. I'm wondering if filler, sculptra, or fat grafting would help? And if it would be better to add volume to the cheeks or directly to the nasolabial folds? I live in Japan so a doctor in Japan or Korea would be best for me. Thank you for the advice!

Timothy Osborn, MD · Answer

You are correct in that lighting/shadowing does play a part in the appearance of nasolabial folds. Filler is definitely and option. It is the quickest and easiest way to add some volume to the area, but it is not permanent. It would need to be periodically touched up. Fat grafting is also an option (it sounds like you did some research). Cheek implants may also be an option, to add volume above and tighten some of the skin below. It could help to reduce the appearance of the folds. There are also some non-surgical skincare treatments you could consider. A set of deeper chemical peels can reduce the appearance of the folds, as well microneedling with RF (radiofrequency). Both will help to tighten the skin and promote collagen production.

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

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. Based on these images, you can benefit from dermal filler injections. Fillers can help restore volume and address your nasolabial folds, add fullness to your cheeks, and enhance your facial contours. I highly recommend scheduling an in-person consultation with a reputable, experienced injector in your area. These experts are armed with a better knowledge of facial anatomy, as well as the most advanced injectable techniques that can achieve the most natural-looking appearance. During your consultation, your provider can assess your skin quality and facial profile, customize the best treatment plan, and ensure the best possible outcome.

Camille Cash, MD · Answer

Fillers are a great option for adding lost volume and achieving a more balanced look.  They can be used to soften nasolabial folds added to cheeks to create lift, and used under the eye to smooth the contours.  See an expert injector for treatment.

Charles Cheng, MD · Answer

An experienced injector will give you a wonderful result starting with mid face fillers lifting your cheeks and reducing the NLFs.

How to fill sunken nasolabial folds and improve side profile? (Photo)

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