Do you recommend cheek filler or nasolabial fold filler, or both?

Hi there-Thank you for your question and photos. I find the best way to address nasolabial folds is to start by restoring lift to the cheeks. Laxity or sagging in the cheek region is the first signs of aging and most patients will initially see this in the slight sagging of the nasolabial folds. By injecting a dermal filler (such as Voluma) to the cheek or malar region; this provides a subtle lift the area subsequently lifting the nasolabial fold. Given your age and the amount of mild laxity as shown by your photos, Voluma would be a great option for you in the malar region. I hope this was helpful. Good luck to you!

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

A full-face photo would have permitted a better evaluation. However, in general, cheek volume loss is at the route of the development of smile lines. Hence, it is a good bet that restoring the volume to the cheeks would result in secondary improvement in the smile lines. Make sure to consult with a board certified aesthetic physician and make sure to request to see his/her personal before and after photos before agreeing to proceed. Best of luck.

Although it would have been better to get a full view photo of your face to advise you on what to do, based on the available photos I would say a cheek filler would be more effective.

Hello and thank you for your question. I think you would benefit greatly with some filler in your cheek area. Find an experienced injector to discuss your goals and options. Best wishes.
Dr. T

Hi there, depending on your budget it may be beneficial to do a combination treatment. If you have a tight budget, I would start with cheeks, cause that can often lift the nasolabial fold area slightly and draw the attention up to the eye.

Hello and thank you for your question. Nothing truly compares to a face to face consultation for advice however from what you have said usually replacing volume from where it has been lost is best- here you may benefit from a slight amount of cheek filler to help lift. Always seek an experienced and qualified practitioner, best wishes