Best solution to nasolabial folds and hollow cheeks? (Photo)

Question

I think the problem was exacerbated by significant weight loss, but that happened quite a long time ago. Would fat transfer be a good solution to this? I'm concerned about the impermanence / long term impact of filler. Would orthatropic treatments to expand the maxilla be effective? Thanks!!

Randal Haworth, MD, FACS · Answer

Based on your pictures, it looks like you would be a good candidate for fat transfer or Renuva, which is a an injectable filler that contains a special blend of microfat, adipose-derived stem cells, and growth factors. It's designed to provide a more natural and longer-lasting result compared to some other dermal fillers.

I hope this helps,
best of luck !

I hope this helps,
best of luck !

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question and photos. It is a little hard to say without at physical exam. It looks like you are a bit deficient in the cheek area. You have a bit of ta nasojugular groove. Your are also a bit deep in the NLF. This can occur for a few reasons. Your malar fat pad looks like it has become a bit smaller and has moved downward. Sometimes augmentation of the malar pat pad area can help. There are many different materials that can be used. Filler is usually the first choice. Directly injecting the malar fat pad area and the NLF area is the most common approach. Again, hard to day, but I think you could augment the soft tissue with good result, as opposed to moving the bones of your face. Please visit an experienced, well trained injector. You may also wish to see a Board Certified Plastic Surgeon or Otolaryngologist, (ENT).

Jeffrey J. Roth, M.D.,F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Jeffrey J. Roth, M.D.,F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Anna Chacon, MD, FAAD · Answer

Thank you for your inquiry about the best solution for nasolabial folds and hollow cheeks, which you believe may have been exacerbated by significant weight loss. Dermal Fillers are an immediate improvement in the appearance of nasolabial folds and hollow cheeks. They require minimal downtime and the results can last from 6 months to 2 years, depending on the type of filler used. Orthotropic Treatments are typically used to guide the growth and development of facial bones in children and adolescents. Their effectiveness in adults, particularly for the concerns you have mentioned, is less certain.Surgical Alternative procedures like a midface lift or cheek implants could also be potential options, offering a more permanent solution. However, these are more invasive procedures with longer recovery times.
It's important to have a detailed discussion with a board-certified dermatologist who can assess your individual needs and preferences, and guide you towards the most suitable treatment.

Camille Cash, MD · Answer

Fillers are a great tool to improve volume loss related to weight loss.  If you are wanting results that are more long lasting you can consider Sculptra or Renuva.  I've included a video on Sculptra that I hope you find helpful.

Best solution to nasolabial folds and hollow cheeks? (Photo)

Answers (4)

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