25F with nasolabial folds? (Photo)

Question

I used to have very full cheeks but recently I noticed prominent nasolabial folds. When I was 22, I had facial liposuction so I wonder if that could be the cause or if it is age-related. For reference, the first photo was taken before the facial liposuction and I barely had any nasolabial folds in that photo.

Nelson Lee Novick, MD · Answer

Since the upper cheeks are a major support for lower cheeks below, any loss of volume in the upper cheeks (whether from aging, acne scarring or prematurely via liposuction) can contribute to the appearance of more prominent smile lines. Frankly, however, at least in the photos provided, the recent smile lines do not appear particularly prominent or abnormal. Hope this helps.

Anna Chacon, MD, FAAD · Answer

Prominent nasolabial folds can be influenced by various factors, including age, genetics, skin quality, and previous cosmetic procedures. Here are some considerations that might help you understand the changes you are observing:

1. **Age-Related Changes:**
   - Even though you are still young, the skin and underlying structures of the face can start to change in your mid-to-late twenties. Collagen and elastin production decreases, which can lead to less firm and more saggy skin, contributing to the appearance of nasolabial folds.

2. **Impact of Facial Liposuction:**
   - Facial liposuction can alter the fat distribution in your cheeks. If a significant amount of fat was removed, it might have reduced the volume that previously kept the skin taut, potentially making nasolabial folds more noticeable.

3. **Volume Loss:**
   - Loss of volume in the cheeks, whether due to natural aging or as a result of facial liposuction, can cause the skin to sag and create more pronounced nasolabial folds.

4. **Skin Elasticity:**
   - The elasticity of your skin plays a significant role. If your skin has lost some of its elasticity, it may not bounce back as well after the liposuction, leading to more apparent folds.

5. **Genetics:**
   - Your genetic makeup also influences when and how prominently nasolabial folds appear. If your family members have similar facial features, you might be predisposed to developing these folds earlier.

### Recommendations:

1. **Consultation with a Dermatologist or Plastic Surgeon:**
   - A professional can assess your skin and facial structure to determine the exact cause of the changes you're noticing. They can provide personalized advice and treatment options.

2. **Non-Surgical Treatments:**
   - Fillers (like hyaluronic acid) can be used to add volume to the cheeks or directly into the nasolabial folds to smooth them out.
   - Skin tightening treatments (e.g., laser therapy, ultrasound therapy) can help improve skin elasticity and reduce the appearance of folds.

3. **Skincare Routine:**
   - Incorporate products that boost collagen production and maintain skin hydration. Ingredients like retinoids, peptides, and hyaluronic acid can be beneficial.

4. **Healthy Lifestyle:**
   - Maintain a healthy diet, stay hydrated, avoid excessive sun exposure, and don't smoke. These factors can significantly impact the health and appearance of your skin.

While your previous facial liposuction might have contributed to the changes you're seeing, age-related factors and natural volume loss are also likely playing a role. Consulting with a professional will provide you with the best approach to address your concerns effectively.

Camille Cash, MD · Answer

Nasolabial folds can become more prominent for various reasons.  Liposuction, aging, and genetics could all play a part.  I encourage you to visit a med spa near you to learn about your options to keep your skin looking healthy.  We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Leonard Grossman, MD · Answer

Most likely you did not need any facial liposuction because as the person gets older after H2, the face naturally becomes more slim. Most people who address buccal fat and other areas of “disliked” areas of the face by liposuction can deflate the face quickly resulting in increased nasal labial folds.
Most likely you need to be seen by a Plastic surgeon in person so us to determine the best way to address issues on hand. I hope this helps and good luck from Leonard Grossman MD organic Plastic Surgery.

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