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Am I candidate for dermal fillers to address nasolabial folds?

RS922Aug 30, 2023
I'm wondering if I'm a candidate for dermal fillers to address nasolabial folds? I'm a 43 year-old white male. I took the attached photo with a DSLR camera held at arm's length in a well-lit room. I feel like they may not be as pronounced in this photo, however, I notice them deeply / more acutely in dimly lit rooms or rooms with shadows, so I'm unclear if this is a perceptual trick or not.

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Dr. Stephen Prendiville, MD
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Dr. Stephen Prendiville, MD
Board Certified Facial Plastic Surgeon
4.8 | 161 Reviews
Answered on Aug 31, 2023
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Dr. Camille Cash, MD
Dr. Camille Cash, MD
Board Certified Plastic Surgeon
Answered on Sep 4, 2023
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Lexie Wang, MD

These "dents" appear to be related to hypertrophy of your corrugator muscles. I would first try aggressive treatment of this with neurotoxin as filler in this area can be risky. If you do not get the results you are looking for after some time (may take a year or more), then you could see if...

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Whitney Florin, MD

You are absolutely correct in noticing that many providers do not offer this treatment. This is a highly advanced area to treat as injections around the eye (and truly anywhere in the face) carry the risk of injecting filler into a blood vessel which can cause occlusion and very rarely blindness...

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Anna Chacon, MD, FAAD

Under-eye bunching when smiling or making facial expressions can be due to several factors, including skin elasticity and underlying muscle activity. For under-eye bunching, treatments such as Botox or Dysport can be considered. These are injectable treatments that work by temporarily relaxing...

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Whitney Florin, MD

Hello, sorry to hear about what you've been through. Yes, it looks like you have some tissue atrophy from the Kenalog and 5-FU injections. Unfortunately this is common. However, it usually will improve and resolve over 6-12 months. It would be best to be patient with this process. You can also...

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Whitney Florin, MD

First of all, you are beautiful! Many patients come in requesting filler to create high cheekbones and defined jawline. I would start with Botox to the masseter to slim the jawline and lower face. You could also consider some filler to lengthen/slim the chin and face. But I would start...

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