The skin next to my nose is sunken in and so it seems like my mouth protrudes. What can I do? (Photos)

Hello Izzy. You are a great candidate for dermal fillers. As another practitioner hasd pointed out, you are a good candidate for Sculptra as you are thin and the area of the cheek that is of concern to you (see photos at link) is one that responds very well to Sculptra. Sculptra is also a longer lasting filler as it is your own collagen that creates the fill.

From the photos provided, there appears to be a deficit in cheek volume (as evidenced also by the tear troughs under the eyes), as well as the fairly pronounced nasolabial folds. Bolus injections over the cheekbones of a lifting filler, such as Restylane Lyft or Hyabell Deep, will not only help the incipient hollowing under the eyes, but will likely secondarily smooth to some degree the smile lines. Following this, filler may then be added directly to the smile folds to further elevate and smooth them, which would no doubt diminish the unwanted shadowing that so disturbs you. The results of these treatments are immediate, generally engender an immediate "Wow!" reaction and result in little to no significant downtime. Threads are relatively expensive, have downtime, and really don't last as long as promised. And the purported benefits of other expensive "bells and whistles," like fraxel lasers and radiotherapy or ultrasound treatments, are supported more by marketing hype than hard science. Make sure that you consult with a board certified aesthetic physician and ask to see his/her personal befores and afters before agreeing to proceed. Best of luck.

this needs fillers, threads and morpheus for non invasive options. but you may want an early face lift to give ou more results. this is sagging and you should also get peptide or hormonal therapy.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.