Should I start looking into correction for my nasolabial folds? I'm 31, not sure if it's too early (Photo)

Lately they appear more prominent though I don't know if that's how they should appear? I lost 10 lb recently. Also I have acne prone skin which seems to enhance the look. Is this something I should get fillers for ? Or can proper skin care, weight gain address it? Is there volume loss?

Doctor Answers 7

Deep Nasolabial Folds

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Hi asa1116

Thanks for your questions and sharing your photo.

Nasolabial folds can be cause by many factors.

If you recently lost weight, some of the fat pad under your eye and cheek may have gotten smaller. This fat loss in the face, makes the nasolabial line deeper and longer. Adding some volume, like a filler into mid-face and cheek may help to restore volume of fat loss in face and help to dramatically improve your nasolabial fold.

I think it is always best to restore rather than augment.

Better to treat the cause than to cover up the problem.

This will help restore you to a natural corrections

Facial volume changes with weight loss

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Hello asa1116. Thank you for sharing your questions and photo.

To start, congratulations on your weight loss!

Unfortunately, the fat that we have in our faces can lose volume during periods of weight loss, as you have noticed. In general, most people often do not want to lose the fat in their face, as fat generally looks good when in the appropriate places within the face.

Often times, it seems that the fat that is lost in the face does not always return with a gain in weight (for example, take a look at some photos of professional bodybuilders/fitness competitors - they often lose a large amount of facial fat during dieting for competitions). Therefore, I would recommend that if you do not like the small loss in volume that you have, that you should schedule a consultation with a physician specializing in facial aesthetics. You will have multiple options (specifically a variety of fillers and possibly fat transfer) available to you that can be discussed at length in a proper consultation.

Good luck and please don't hesitate to ask any further questions.

Dr. Silver

Nasolabial Folds

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When evaluating nasolabial folds they should be considered in the context of the entire face. It may be that you also have some flattening of your cheeks which is making your folds look more prominent. If there is some flattening of your cheeks then it is important to enhance your cheeks.  When enhancing your cheeks, if needed, you can also add to your folds. In the photo is appears that your face may be angled down towards the camera, this can alter your facial aesthetics.Answer this question


Paul Carniol, MD
Summit Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

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Nasolabial area and fillers

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Based on your photos and the weight loss I would recommend Voluma in the mid-face and a smaller amount of Juvederm not the nasolabial folds to soften them.  Please consult a board certified dermatologist with expertise in facial injections for the best cosmetic results.  Best, Dr. Green

Softening Nasolabial Folds

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Dear asa1116:

Looking at your photo, I wound recommend initial enhancement of your cheek with a filler like Voluma which can sometimes lift and soften your nasolabial folds and re-assess volume requirements for nasolabial fold filling on your 2 week follow up.  All the best.


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Deep nasolabial folds can be part of your native anatomy, or a symptom of deflation and descent of the cheek that can occur with weight loss and age.  Fillers can be used very effectively to soften the folds themselves, and as a colleague has suggested, they can be used to volumize and shape the cheeks, lifting the soft tissue and skin, and further improve the folds.  Your picture suggests that you would be an excellent candidate for fillers!  You should continue healthy nutrition and exercise, as weight gain will not improve your folds.  Further note that fillers and a medical grade skin care program work cooperatively, but do not substitute for each other.  Best to consider a formal consultation with a provider with an interest and considerable experience with fillers.  

Larry Lickstein, MD
Fairfax Plastic Surgeon
4.2 out of 5 stars 43 reviews

Should I start looking into correction for my nasolabial folds? I'm 31, not sure if it's too early (Photo)

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Hello, and thanks for your question and photos. You appear to be an excellent candidate for facial rejuvenation with hyaluronic acid (HA) fillers. In particular, I think you would benefit from a small amount of Voluma in your cheeks. Voluma is a thicker HA filler that is meant to be placed deep so as to provide structure and lift. Once the Voluma is in place, you may also decide to have some filler placed in your tear troughs, so as to produce a more rested look. I tend to favor Restylane in this area, as it attracts less water than some other fillers, yet it is hearty enough to provide lasting results. You also may benefit from some filler placed around the mouth, but these lines may soften to your liking with the Voluma alone. In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Hope this opinion is helpful to you. Best of luck, Dr. Frucht. 

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.