Nasolabial fold fillers or cheek fillers? I am not happy with the way my face is drooping down (Photo)

Question

do not want to get nasolabial fold fillers because i heard it can make your face look droopier and puffier and that it makes the gap between your mouth and nose wider, was advised to get cheek fillers to lift the nasolabial folds, but then was warned by my friend who got cheek fillers at the same doctor that they made your under eyes look very hollow and your face look very puffy and make it obvious that you've got something done, i need a lifting effect, please advise me!!!!!

Nima Shemirani, MD · Answer

Hi @CANANUTK! I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Josh Olson, MD · Answer

See a board certified plastic surgeon or dermatologist with a lot of experience with fillers for more information as there are a lot of options when it comes to facial fillers. An in-person examination cannot be replaced by online consultations. Looking at your photos I would recommend cheek fillers and also filling your nasolabial fold. You can start with the cheeks using radiesse or Voluma (voluma is probably better but much more expensive). Best of luck

Payman Danielpour, MD, FACS · Answer

By reviewing your pictures and concerns I believe you would benefit by naturally filling your cheeks and pyriform apperture to improve your laugh lines as well.  The filler injected in your cheeks should blend laterally to give the appearance of higher cheekbones as well as slightly lift the face.

Afshin Farzadmehr, MD · Answer

You may benefit from filler and gain much improvement if it is done right.  It is best to have a free consultation to actually examine your face and make an evaluation in person.  The cost of filler is $400.  I have seen excellent improvement over the years that I have done the fillers.

Harold J. Kaplan, MD · Answer

Hi Canan.  When you treat nasolabial folds, you can help improve the concerns in more than one way.  Cheek fillers can provide some support by placing the product in the same area where collagen and fatty tissue has been lost.  Filling the cheeks does not fully correct the nasolabial folds, but the way we describe it is that it can relieve some of the pressure that sagging cheeks puts on the nasolabial folds.On the other hand, nasolabial folds can also be improved by injecting product directly under or across the folds.  We use three products, Restylane, Perlane and Radiesse and love the results for all three.  You are an excellent candidate for dermal fillers but you probably need a combination of both of the techniques above for best result.  To see an example of Restylane before and after photos for a Los Angeles patient that had the same concerns as you do, click on the link below.

Jason Emer, MD · Answer

Fillers need to be injected very precisely to get lifting.  I suggest you see a facial contouring specialist for treatment and evaluation.  It is likely you need multiple fillers over time to get both a short and long term result.  Best, Dr. Emer.

Stella Desyatnikova, MD · Answer

It is 
important when considering facial rejuvenation that you discuss your concerns 
with a Board Certified Facial Plastic Surgeon highly 
experienced in injecting the face. The hollows of the face shown in your photos 
are a natural part of aging that can often be addressed with dermal fillers. 
Your injector should be able to find an aesthetically pleasing facial balance 
while softening the nasolabial folds, restoring cheek volume and improving 
under eye hollows.  A combination treatment of multiple fillers, including 
Restylane and Voluma, may be used to achieve your desired result. During your 
consultation, ask to see your injectors before and after photos to see if they 
have the same aesthetic vision you are trying to accomplish with your own 
appearance.  Best of luck and make sure to do your 
research!

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question and for posting pictures.I recommend treatment of NL folds with volume filler (Radiesse) and tear troughs with filler (Belotero).Seek care from an experienced provider - Dr. Raffy in Santa Monica, CA can help you at Kare Plastic Surgery.

Francis R. Palmer, III, MD (retired) · Answer

I believe you would benefit from fillers to your cheeks.  Women appear very soft and feminine when their cheeks have the soft, round fullness.  Yours would benefit from the added volume.  Most likely, if you see an experienced injector, your concerns about looking too puffy or hollow will not be an issue!

Richard W. Fleming, MD (retired) · Answer

Fillers will not lift your cheeks or your nasolabial folds. Fillers in the nasolabial grooves and your tear troughs will improve the cheek contours ad reduce the drooping appearance. You do not need or want "lifting".