Piriform fossa filler + PDO Threads (+ PRP and Profhilo) for nasolabial folds - advice? (photos)

Question

Hallo, I'm man, 44. My only concern are nasolabial folds. I'm flatting to fill the piriform fossa with Voluma and lift the skin with PDO THREADS I will have PROFHILO and PRP to tightness the skin. After this, I will decide if I need (I think I do need) a little volume in my inner cheek. I want to be very conservative. I add two pics, at my best and my worse. At my best, I like myself. At my worse, I think I am horrible. I do not why my face changes so much.

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

Connie Hiers, MD, FACS · Answer

I do not recommend the threads, but do recommend Sculptra injections for better overall volume and improvement in skin texture. Sculptra was initially approved for those with HIV with severe facial volume loss.  It works nicely and works differently from other fillers and the results last longer.

Piriform fossa filler + PDO Threads (+ PRP and Profhilo) for nasolabial folds - advice? (photos)

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