Heavy nasolabial folds on a 20 year old, what can be done? (Photos)

Question

Hi! I’m only 20 years old but I have HUGE nasolabial folds, and it makes me very insecure. I’ve looked into getting a mid face lift but all the plastic surgeons I saw said I need to be in my 30s at least. I am willing to do fillers as a last resort, but I would really prefer it if there was a more permanent procedure I could do. Also, could this maybe be because of fat? I am not overweight but I do carry most of my fat in my face/neck unfortunately. Thank you for your help!

Jason Emer, MD · Answer

Most of my younger patients do buccal fat pad reduction, facetite/liposuction of the neck, and fillers to chin/cheeks/jawline/temples, to give them a more chiseled face.  See my IG and links. At home derma-rolling should be started to Improve texture and tone and tightening along the jawline (Emerage Skin X AnteAGE Aerify Dermarolling).
 
For facial slimming a combination of treatments are always needed.  
Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined
 
Most of my younger patients consider...
5. deep microneelding RF like morpheus every 2-3 months forever to further improvement tightening
6. early face/neck lift if you want a really tight contour and the most extreme improvement in jawline and neck shaping
7. threads, PDO or Instalift, after neck surgery/facetite to further improve the outcomes and give them long term collagen production and shaping
8. Thermage (radio frequency heating) and Ultherapy (ultrasound muscle tightening) yearly to prevent sagging in the future
 
See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

Supriya Tomar, MD · Answer

Your folds can be easily treated with dermal fillers, particularly RHA as it will help preserve the movement around your mouth while smoothing it out. I've also successfully treated younger patients with PDO threads, but you would need to be evaluated in person in order to determine if that course of treatment would be ideal for you. Best of luck!

Onir Spiegel, DDS, PhD · Answer

Heavy nasioabial folds early can be easily treated with fillers to the malarr eminence. Heavy NLFs are often a result of volume reduction under the eyes or in the cheek area. Fillers can be an easy way to address the problem without giving you a chipmunk look. Good luck from Boston, Dr. Onir

Heavy nasolabial folds on a 20 year old, what can be done? (Photos)

Answers (3)

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Everything you need to know about Dermal Fillers

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Heavy nasolabial folds on a 20 year old, what can be done? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.