Nasolabial folds liposuction? It makes me look much older than I am

Liposuction is not typically performed to address nasolabial folds. Nasolabial folds, the lines that run from the sides of the nose to the corners of the mouth, are primarily caused by the natural aging process, loss of facial volume, and changes in skin elasticity. Liposuction is a surgical procedure designed to remove excess fat from specific areas of the body, such as the abdomen, hips, thighs, or arms, and is not targeted towards addressing wrinkles or facial folds.
To address nasolabial folds and achieve a more youthful appearance, various non-surgical and surgical options are available, including:
1. Dermal Fillers: Injectable dermal fillers, such as hyaluronic acid-based fillers (e.g., Juvederm, Restylane), can be used to add volume to the nasolabial folds, thereby reducing their appearance and restoring a smoother, more youthful contour to the face. Fillers are a popular and minimally invasive option for temporarily addressing nasolabial folds with little to no downtime.
2. Fat Transfer: Autologous fat transfer, also known as fat grafting, involves harvesting fat from one area of the body (e.g., abdomen or thighs) through liposuction and injecting it into the nasolabial folds to add volume and improve their appearance. This technique can provide long-lasting results, as the transferred fat becomes integrated into the surrounding tissue.
3. Facelift: A facelift is a surgical procedure that can address sagging skin, wrinkles, and folds in the lower face and neck, including the nasolabial folds. During a facelift, excess skin is removed, and underlying tissues are tightened to create a more youthful and rejuvenated appearance.
4. Skin Resurfacing Treatments: Procedures such as laser resurfacing, chemical peels, or microneedling can help improve the texture and appearance of the skin, including reducing the depth of nasolabial folds and stimulating collagen production for firmer, smoother skin.
5. Combination Approaches: In some cases, a combination of treatments may be recommended to achieve the desired results. Your plastic surgeon can assess your individual concerns and goals and develop a customized treatment plan tailored to your needs.
Before undergoing any cosmetic procedure, it's essential to consult with a board-certified plastic surgeon who can evaluate your specific concerns, discuss your treatment options, and recommend the most appropriate approach based on your unique anatomy and aesthetic goals.

No, this is not a safe are for liposuction because of the risk of nerve damage. However, micro-needling with radiofrequency treatments like Secret could be very helpful to tighten the skin in that area. The bulge is not fat.

An in person evaluation is needed for a recommendation. It may be that other treatments such as Morpheus8 can address skin tone and texture to improve your overall look. Fillers can also be used to balance facial contours. See a board certified plastic surgeon to discuss your concerns.