What can I do to minimize the appearance of pronounced nasolabial folds after 20 lb weight loss? (photo)

Question

Hello I lost a lot of weight (20 lbs) and used to have a chubby face (I still have a round face, just not as much). My nasolabial folds are very pronounced. How to fix this? Thanks!

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

David Parizh, DO · Answer

Nasolabial folds can be addressed with addition of volume for a mild improvement. This can be accomplished with filler or addition of fat. This maybe a good place to start. If you’re looking for a more global facial rejuvenation or want a more drastic improvement then surgery is an option. Happy to layer discussion and answer questions. Best of luck with your search.

Michael I. Echavez, MD · Answer

In my opinion, dermal fillers could help soften your nasolabial folds.  An examination of you would be helpful to determine the best placement of the filler for your particular concern.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! There are options for your nasolabial folds. Fillers tend to be a great starting point. Hyaluronic acid based ones - such as the Juvederm, Restalyne, and RHA lines - are great because they move with the skin and last 8-12 months on average. The amount of filler you need can vary as the syringes are filled only to 1 cc which isn't a ton of volume. I would seek consultation with an injectionist to learn more about what may be best. Another option is fat transfer, but I would suggest fillers, first. Hope this helps!

Joel L. Cohen, MD · Answer

Don’t try to do more than soften it, as when too much is placed &mdash; it can look artificially flat. I like Restylane Defyne and RHA 3 for this area.

What can I do to minimize the appearance of pronounced nasolabial folds after 20 lb weight loss? (photo)

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