Nasolabial folds: filler, Ultherapy or Thermage? (photo)

Question

Hello, I am trying to correct my nasolabial folds. I would like to delay the use of fillers for as long as possible. Based on my photo, do you think Ultherapy or Thermage could give me good results or should I go for fillers? If the latter, which one?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Raymond Shaheen, MD, FACS · Answer

I would not lead with filler. You can always do that later after your have obtained a mid-face lifting and tightening with Ultherapy or Thermage. I wish I could see your cheek bones as you will get a softening of your nasolabial folds with some cheek filler (again after Ultherapy if you like). The nasolabial folds are the end result and it is helpful to have a more comprehensive look at your face before rushing in for filler just there.

Nasolabial folds: filler, Ultherapy or Thermage? (photo)

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