What causes these folds? (Photo)

Question

I would like to ask what could cause such puffy cheeks/jowls and marionette lines near the lips area. Could teeth grinding be one of the causes? I'm 35.

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

Thank you for your question and for the photos you provided. Marionette lines and jowls are generally signs of the aging process caused by skin laxity. You may benefit from a liquid facelift that uses dermal fillers to smooth fine lines and reduce jowl formation. Results from facial fillers are instantaneous and may last approximately 6-12 months. I recommend scheduling an in-person consultation with an experienced, qualified injector who can assess your concerns on a more individual basis.

Camille Cash, MD · Answer

Facial contours can be influenced by many factors such as aging, genetics, sun exposure, weight fluctuations, and TMJ to name a few.  Fillers are a great tool to help soften the appearance of marionette lines.  For oversized masseter muscles we can use Botox or other neuromodulators to temporarily slim the jaw.  I encourage you to visit with a board certified plastic surgeon near you to discuss your concerns and learn more about treatment options.

Anshul Gambhir, MD · Answer

Hello! Natural collagen losses occur with age. Collagen is a protein that naturally plumps your skin. Gravity also plays a role in sagging skin around certain areas making the lines more noticeable. However it is not often recognized, bruxism (clenching, grinding) may also lead to a premature aging face and facial volume loss.  There are multiple treatment options to help with your concern. I highly recommend consulting with a board certified physician with experience.  I hope this helps you!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,
As we get older we experience volume loss which presents in many ways.
It appears that filler would be a good option for you.  Have a consultation with an expert injector and best of luck!

What causes these folds? (Photo)

Answers (5)

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