Nasolabial folds and mouth corners turning at 24. Will facial exercises or losing weight or facial fillers help? (photo)

Question

Hi I am 24 yrs old & since the past one year I rapidly gained 40lbs from bc pills. How I have all these NL folds and curved mouth corners that make me look a lot older for my age. If I lose all the weight, will my folds and curved mouth corners flatten out again? Or will I have to use facial fillers? I am scared to use fillers so young because then I will start looking like those plasticy women (Ex. Joan Rivers) because I will have to keep doing them every year. Any suggestions? Thank you.

Richard G. Schwartz, MD · Answer

Based on your history of recent weight gain and your photos, I think the first suggestion would be to see if you could lose some weight, and then  judge whether the weight loss has improved the appearance of your face.  You have relatively full cheeks, including the area just beyond the corners of the mouth, and fat in these areas will create deepening of the so-called nasolabial and marionette folds, as well as turn the corners of the mouth downward.  After weight loss, I would expect your skin is firm enough to retract back into a normal position.  However, if some depressed folds still existed, then the simplest treatment would be to inject a small amount of filler to help even out the contours nicely.  Finally, as a last resort and if you weren't able to reduce this area with weight loss, a conservative liposuction just beyond the marionette folds could reduce fullness there.

Nima Shemirani, MD · Answer

Hi @crossbonnez. I would suggest you consider hyaluronic acid dermal fillers like Restylane Defyne for your nasolabial folds/laugh lines. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Stephen Mandy, MD · Answer

You have a full face, so weight loss may reduce the problem without fillers.  However, you may still need some modification, if those problems do not resolve to your satisfaction.  Gentle filling with relatively small amounts of a filler such as Restylane into the upper outer cheek area and at the corners of the mouth should produce the change you wish.

Darryl J. Blinski, MD · Answer

Your 1st step is weight loss! Than examination of the effect of the weight loss before adding any HA fillers...

Nasolabial folds and mouth corners turning at 24. Will facial exercises or losing weight or facial fillers help? (photo)

Answers (4)

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