Uneven nasolabial lines. What should I do? (Photo)

Radiesse is a stimulatory filler that is an excellent option for patients who desire a longer-lasting filler alternative to hyaluronic acid dermal fillers. In our office, we use Radiesse to complement structural areas of the face and contour bony prominences. Our office also is a center of excellence for filler complication treatments and we see patients who have been treated by other doctors and have undesirable results from Radiesse or other long-lasting fillers. We have treatment options available for Radiesse filler nodules, granulomas, and soft tissue thickening. The first step would be to diagnose the nodularity and determine whether there is an option for surgical vs. non-surgical removal. Surgical excision is a possibility in some patients; whereas others with more diffuse fillers may benefit from intralesional therapy using scar modulators and enzymes and kenalog. Radiesse complications may be long-lasting and prompt action is key. Patients who have no access to an expert in the field should begin gentle massage of the areas of nodularity with Plato’s Scar Serum twice daily. RF and invasive lasers can actually do more damage by stimulating further collagen growth.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Generally, if you want to have full cheeks, you will have to accept some degree of nasolabial fold, because without that contour difference/indentation, your cheeks would not appear so prominent. It's a trade-off, either one has prominent cheeksand prominent nasolabial folds, or neither.

As has been pointed out, we are all asymmetric in some shape and form — this is normal. We do not see your before pictures, but having had Voluma and Radiesse, it would make sense that you had some volumizing in your cheeks. The question was how asymmetrical you were before and did this do anything to make it better or was it accentuated — all alluding to injection skill and artistry, which is key anytime you are getting these kinds of injections. A board-certified dermatologist or plastic surgeon should be looking at you, evaluating you and determining with you the most appropriate course moving forward.If there was asymmetry and this is the same now as it was before, more fillers in the cheeks may be necessary, but caution is needed not to overdue in this area. Occasionally a small amount of filler in your right nasolabial fold might "fix" the problem, then some filler in the area around the mouth might correct that as well. Soon we are going to have a new filler – Restylane Silk, FDA cleared for the lips and areas around the mouth. This may be something that might be very helpful for you.Find the right doctor, and they will correct things for you.