Where would be best to get filler and is it the best option? (Photo)

Question

I’m only 32 but already experiencing loss of volume and sagging. I especially hate the nasolabial folds, they started in my early 20s, so thinking to have them filled, but not sure it will solve the overall problem, so have also considered cheeks and jawline, as well as my lips. Basically I hate my whole face and don’t know where to start!

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 your question. Based on your photo, you could benefit from non-surgical facial rejuvenation procedures. Fillers will help restore volume under the eye and in the cheek, enhancing your facial contours. Other treatments you can explore include lasers, a PDO threadlift (uses dissolvable sutures to lift tissue and tighten skin for a noticeably younger appearance), or RF microneedling (Profound RF or Virtue RF) that combines the rejuvenating benefits of microneedling with the stimulation of radiofrequency (RF) energy to renew the skin from the inside out.

A combination of procedures can offer optimum results as well. The best way to determine the best approach to achieving your goals would be to schedule an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin, determine the best procedure or combination of procedures, and ensure the best possible outcome.

Anshul Gambhir, MD · Answer

Hello, thank you for your question. I highly recommend consulting with a board certified physician with experience. I would recommend Juvederm Voluma to the cheek area, that would help with volume loss. When Juvederm Voluma is strategically placed you would be able to achieve a more uplifted appearance. In addition you could add Juvederm Volbella to soften the under-eye. Combining those two products will help achieve a blended, uplifting results. An other option you may have is a PDO thread lift, I would consult with a certified physician. I hope this helps you.

Camille Cash, MD · Answer

Fillers are a great option to define facial contours and add volume where it's been lost.  The best filler to use depends on the area injected.  You can also consider adding Morpheus8 treatments which use RF technology combined with microneedling to improve overall skin tone and texture.  See an expert injector near you to learn more.

Leonard Grossman, MD · Answer

What appears to be a nasolabial fold is actually not. You genetically have very fat cheeks and loss of volume in the lower eyelid area. This is usually inherited from the fathers side of the family. Having fat grafting performed by an expert Plastic surgeon, you should correct the situation permanently and naturally. I hope this helps and good luck from New York City plastic surgery

Where would be best to get filler and is it the best option? (Photo)

Answers (5)

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