Am I a candidate for dermal fillers to address nasolabial folds? 44 y/o male

For many years now, experienced injectors have stopped "chasing wrinkles," in other words have looked to the causes of the wrinkles and folds and instead treat these. So, for many years, if smile folds were the concern, then fillers were injected directly into them. However, this often didn't totally solve the problem or even created a somewhat distorted artificial look. Once we learned that the development and deepening of the nasolabial folds was actually due to loss of volume in the fat pads of the cheeks above and to the sides of them, it became an easy fix to replace that volume with specific HA volumizing fillers. And, lo and behold, by reflating the cheeks, we so often significantly improved the smile lines without needing to treat them directly. From the cropped photos provided, there does appear to be volume deficit in the cheeks, so restoring the volume with an HA volumizing filler would appear to be the first, and very likely, the only step needed to provide the improvement desired here. You would be wise to consult with an experienced, board certified cosmetic dermatology filler expert. Best of luck.

Based on your photos, I would say that you do appear to be a good candidate for dermal fillers to improve your nasolabial folds. There are a variety of fillers that could be used. Placing some filler in your cheeks would help the most, as this would draw up your nasolabial folds. Some could be placed under the folds as well.

Hi @Question9180. Thank you for sharing your photos. You are a great candidate for dermal fillers. I recommend filler in both your cheeks and nasolabial folds.

Best of luck,

Dr. Nima

Hi , I also think that you are a great candidate. I would concentrate on the biface/cheeks and when they are properly corrected you will need no to minimal filler to NLF. My choices would be Radiesse or Restylane Lyft. My guess that it would take at least two syringes or Radiesse to make you happy and 2-3 or Lyft. the good thing is that you see results as it goes in so you can decide how much you want at the time.

The Nasolabial Folds are created because of loss of volume in the upper facial parameters, typically the temples and the under eyes areas. I would consult with a doctor about injecting those areas first and then very lightly go with a nice filler in the folds. If you only inject the NLF you will end up very bulky around the mouth area and not get to the bottom of the problem.
Best from Boston!

Thank you for your question.

Yes you should be a good candidate for dermal filler injection in the midface region typically with Restylane lift her or Voluma

Be certain that the filler is injected into your midface into the flattened area of your cheeks and not into the nasolabial fold. The fold becomes visible as you lose volume in the midface and the skin of the cheek drops down. Placing filler in the midface region will lift the cheek and lessen the nasolabial fold. Placing filler in the fold was done many years ago but midface injection is the preferred technique today..

Hi there,

Yes you are a great candidate for a filler. Maybe start with one 1.5 CC syringe of Radiesse and see if you are happy with the results. You can always add! See an expert injector and best of luck!