Should I fill these nasolabial folds, or is it my cheeks? I am 28 years old. (Photo)

Question

For the past few months, these nasolabial lines have started to bother me a lot. They make me look a lot older than I am. This may or may not be relevant but I make a lot of facial gestures and smile a lot :) I guess my cousin was right when she said smiling gives you wrinkles. I have always had very full cheekbones, but maybe the problem is them, maybe they have gotten flat. Should I get fillers for my nasolabial folds or my cheeks? And which kind do you prefer? What is your opinion? Thank you!

Nima Shemirani, MD · Answer

Hi @diddyhelp! I would suggest you consider hyaluronic acid dermal fillers like Restylane Defyne for your nasolabial folds/laugh lines and Restylane Lyft in your cheeks. 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!

Mathew A. Plant, MD, FRCSC · Answer

Without examining you it's difficult to be entirely sure, but based on your photos it appears as though you would benefit from some volume restoration in your cheek area. This will help flatten the nasolabial folds in a natural way rather than direct injection below them which can result in a very abnormal appearance, especially when your face is moving (which in most people is almost all the time). The only way to know for sure is to book a consultation with a board-certified plastic surgeon near you to see what your options are. Best of luck!

Robert M. Tornambe, MD · Answer

First off, Don't Stop Smiling! A pretty smile makes any face more attractive!I appreciate your concern, and since you have a very pretty face, I would recommend conservative treatment of your nasolabial folds with Hyaluronic Acid,  like Juvederm plus. Another option is fat transfer which is more permanent. Seek out a board certified plastic surgeon in your area, Good Luck!

Richard W. Westreich, MD · Answer

From the photos, it looks like a primary midface issue. You can tell from the orbital hollows that are present specially towards the side of the eye.  My approach would be to volumize the central made face, followed by the orbital hollows towards the side of the eye. If your folds still remain at that point, and you can place a small amount of filler in that area. This will likely take more than one syringe. Probably one and a half, but it's  impossible to tell before doing the treatment.

Laurence Kirwan, MD, FRCS, FACS · Answer

Based on the photographs it looks as if you have lost volume in orbital rim area, and the cheeks. The best long term treatment would be fat injection. SCULPTRA  is a good alternative for orbital rim fat loss and descent. Any treatment should address the hollowness around your eyes. The loss of volume of your cheeks and last of all, the nasolabial folds. Consult with a Surgeon certified by the American Board of Plastic Surgery. A plastic surgeon understands the anatomy and the aesthetic issues of balance.

Steven Wallach, MD · Answer

You might want to consider filling both your nasolabial folds and your cheeks to improve your overall appearance.

Michele S. Green, MD · Answer

From the photo it would appear that it is a subtle combination of mid-face volumizers (cheeks) with Voluma or Sculptra that is needed and a touch of Juvederm for the nasolabial folds.  Please consult an expert in cosmetic dermatology for the best results.

Francis R. Palmer, III, MD (retired) · Answer

Hi, based upon the attached photos your face is oval shaped with very flat cheeks anteriorly (in the front).  Flat cheeks anteriorly allow facial tissues to sag, creating the nasolabial folds at an earlier age.  Female faces are the most attractive when heart shaped.  Heart shaped faces are those with full, round cheeks anteriorly.  I have and continue to treat many women just like you.  My suggestion would be to do a cheek augmentation using a dermal filler (I prefer Perlane) to create full, round cheeks anteriorly that will feminize the entire face (creating a heart shaped face).  I would also fill in the nasolabial folds with Perlane.  Cheek implants could be done at anytime for a permanent cheek enhancement.  Hope this helps.

Should I fill these nasolabial folds, or is it my cheeks? I am 28 years old. (Photo)

Answers (8)

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