Will dermal filler help targer mounds and wrinkle in the mouth area or should I consider surgery? 29 y/o (photos)

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Thank you for submitting your question and photos. Hyaluronic acid dermal fillers may be a good option to smooth the areas you’re referring to by adding a subtle amount of volume. You may also be interested in RF microneedling to tighten and contour the skin by increasing collagen production and improving elasticity. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to review your concerns and determine the best approach to help you achieve your aesthetic goals.

There appears to be volume deficit in the left cheek. If you pull on your left cheek upwards and towards the direction of the left upper ear you will likely find that the displeasing mound on the side of your mouth will diminish significantly. If this is so, then the use of an appropriate robust HA filler injected properly within the left cheek will not only improve the overall appearance of the cheek and create greater symmetry with the right cheek, but will significantly diminish the unwanted mound. in experienced hands, treatment should take no more than about five minutes with immediate results that typically elicit a "Wow!" reaction. You would be wise to consult an experienced board certified cosmetic dermatologist injector and best of luck.

What you’re referring to does not make you look older, but it does create a slightly off of an appearance. This can be corrected with fillers, but in order to correct it completely, you’ll need quite a bit of those fillers, and that would be expensive. I would recommend using your own fat, and it can easily correct this condition once and for all. I hope you find a plastic surgeon who is experienced I fat grafting procedures. I hope this helps and good luck from New York City Plastic Surgery.