How can I get rid of these under eye gallows + nasolabial wrinkles? Cheek Fillers? (Photos)

Hi there, and thank you for sharing your concerns so openly. I can see how this has been weighing on you, and I want you to know that what you’re experiencing is actually very common—especially after stress, weight loss, and changes in lifestyle like smoking. Even at 24, the under-eye area can look more hollow, and nasolabial folds can appear more defined when the mid-face loses volume.

From your photo, you still look youthful, but I do see some mild under-eye hollowing and early nasolabial creasing—both of which are very treatable.

Here are the options I would typically consider:

1. Mid-Face (Cheek) Filler

Rapid weight loss and smoking can cause the mid-face to deflate, making the under-eyes and nasolabial folds look deeper.
A subtle cheek filler—placed high and laterally—not only restores youthful contour but also indirectly improves both the under-eye area and the nasolabial folds.

This is often the first and most natural-looking step.

2. Under-Eye Filler (Tear Trough Filler)

For true hollowness, a small amount of hyaluronic acid filler under the eyes can help soften shadows and give you a more rested appearance.

It must be done conservatively and by someone experienced, since the under-eye area is delicate—but when it’s done well, the improvement can be significant.

3. Nasolabial Fold Filler

If the creases still bother you after mid-face support, adding a small amount of filler directly into the folds can help soften them—again, less is more for your age.

4. Lifestyle Considerations

These matter more than most people think:

Smoking accelerates collagen breakdown, making lines more pronounced. Cutting back or quitting will help your skin recover over time.

Rapid weight loss can make the face look more hollow. Stabilizing your weight helps restore balance.

Chronic stress can contribute to dullness and tired appearance. Improving sleep and hydration alone can noticeably brighten the skin.
5. Skin Quality Treatments

To enhance texture and improve firmness:
Microneedling
Light chemical peels
Retinoids
Hydrating eye creams

These don’t replace volume, but they improve the overall look of the skin.

Final Thoughts
You’re still very young, and the good news is that the changes you’re noticing are absolutely fixable. What you’re seeing is less about “aging” and more about stress, lifestyle factors, and volume shifts—things that respond extremely well to treatment.

With the right plan, you can restore a fresher, more vibrant look that still feels natural and true to you.

If you ever need guidance on choosing the most appropriate treatment path, I’m here to help you navigate it.