This is a pretty complex anatomic area that is difficult to treat even in ideal circumstance.Increasing the chance of success is going to be based on using treatments that deliver predictable outcomes.Fillers are by far the most predictable, precise, and also unforgiving if you don’t like the outcome.on the other hand is far less predictable less precise, and potentially quite unforgiving if you don’t like the outcome.Renuva is in my opinion, the least predictable so that would be my last choice.Simply finding a provider who can do this kind of work well even with predictable treatment options is not easy or straightforward.getting these treatments correct with consistent high patient satisfaction is not the norm or easy to accomplish. Fillers are the treatment of choice in regards to consistent quality outcomes and minimizing, long-term unhappiness(ending up worse than what you started with)Best,Mats Hagstrom MDProvider selection is in the end, probably the most important variable.Finding the right provider is by itself, inherently difficult, and usually requires as substantial effort.In my opinion, it’s best done by having a lot of in person consultations with providers who seem to have decades of experience with a good reputation. In San Francisco David Mabrie MD is one of those. Check out his website to take a look at the work he’s doing.He works exclusively with fillers.I’m not suggesting everybody fly to San Francisco to have fillers done, but seeing his results can give an understanding to what is possible in the hands of the sufficiently experienced and talented provider.Once you know what the gold standard is, it’s simply a matter of finding someone who can deliver similar results in your community.Best,Mats Hagstrom MD