Will Sculptra treat my uneven nasolabial folds or should I consider other options? (photo)

Question

24F with TMJ and I have on deep fold in the nasolabial area only on one side of my face making it very uneven. I am considering Sculptra but think there may be another underlying issue, so I'm not sure it's right. The unevenness doesn't really look like wrinkles. The area between my cheek and upper lip has no volume. And when i feel the area, there is actually a separation in the muscle between my cheek and upper lip area. I'm concerned Sculptra is not right for this.

Nelson Lee Novick, MD · Answer

I stopped using Sculptra about eight years ago. It is relatively expensive and does not give immediate results (usually requires three treatment sessions). It's main advantage was that the results could last up to two years. However, with the introduction of more robust HA fillers that were less expensive, yielded longer-lasting results and results that most often could be seen immediately after one treatment, I switched. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector and best of luck.

Randal Haworth, MD, FACS · Answer

Based on your description, it's possible that the asymmetry in your nasolabial area may be related to your TMJ condition. The TMJ joint connects the lower jaw to the skull, and any issues with this joint can affect the muscles and tissues around the jaw and mouth, including the nasolabial area.

It's important to consult with a qualified medical professional, such as a plastic surgeon or dermatologist, who can evaluate your specific case and determine the underlying cause of your asymmetry. They may also recommend the most appropriate treatment options for you.

Sculptra is a dermal filler that is typically used to add volume to the face, including the cheeks and temples. However, if the asymmetry in your nasolabial area is due to an underlying muscle separation, Sculptra may not be the best option for correcting it. In this case, other treatment options, such as surgery or Botox injections, may be more effective.

Again, it's important to consult with a qualified medical professional who can evaluate your specific case and recommend the most appropriate course of action. They can also discuss any potential risks or side effects of the treatment options they recommend.

Best of luck !

Ali Vafa, MD, MPH · Answer

In my experience it is very common to have a larger volume deficit on one side of the face, compared to the other. This can occur for various reasons. Ideally we would want to identify the underlying issue and determine if it is one we can correct- however for most such cases Sculptra is a good fit for volume restoration and achieving symmetry.

Jason Emer, MD · Answer

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting,  and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Leonard Grossman, MD · Answer

Every individual on this planet has facial asymmetry, which does not mean that it should be treated. One nasolabial fold is always deeper than the other and trying to create symmetry can result in overcorrection. HA fillers are probably your best option to start with. How to set up Simon, Luda from New York City plastic surgery

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

I think you like sleep on that side and it does cause volume loss.  Try sleeping on your back only and have a consult for a more pin point product like the Restylane Defyne.  See a board certified  injector for best results.

Best of luck!

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Of course a physical examination in person by experienced board-certified plastic surgeon or dermatologist is necessary to properly diagnose the condition that troubles you.

That said based on your photographs it appears you have a significant facial asymmetry with more volume and possibly more projection of your bony structure on the right side of your face.

If this is the case after examination and possibly soft tissue fillers on the opposite side might improve your symmetry.  However if volume is causing the early nasolabial fold the same issue may appear on the opposite side after volume enhancement.

In my experience I prefer Restylane lift or Voluma to volume eyes midface.

Will Sculptra treat my uneven nasolabial folds or should I consider other options? (photo)

Answers (7)

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