I am 35 and I've had excess fat in my nasolabial area since I was a child, it is hereditary. Now that I'm older it's causing unsightly paunch. To make matters worse I also have very deep depressions under my eyes. I simply want to find a skilled surgeon who will REDUCE the excess fat in this area, and fill the depressed area with a fat graft, but I cannot find anyone knowledgeable about fat reduction in this area of the face. They all keep suggesting fillers for the NL fold. I don't need that. Why don't more doctors suggest reduction?
Why is It So Difficult to Find a Competent Doctor to Reduce Nasolabial Fat?
Doctor Answers 5
Acculift for Reduction of Nasolabial Fat
As we age, loss of facial fat is the main cause of skin folds and sagging skin. Most physicians want to maintain facial volume rather than remove it. By filling depressions, the "paunch" is supported and lifted. There are a few select physicians (Daniel Rousso, Birmingham,AL and David Holcomb, Sarosota, FL) who use a laser technology called Acculift to remove facial fat with laser assisted microliposuction. Good luck and be well.
First of all, most people are likely suggesting adding volume since it is much easier than removing it. Without pictures, it is impossible to give you suggestions about what you need. In some cases, micro-liposuction is good for removing fat. However, in many cases a cheek lift is required to rejuvenate the face. Good luck.
Excision of prominent nasolabial folds
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Removing fat is usually not the answer to nasolabial excess.
It sounds like you need a good cheeklift to put the tissue with its volume back where it belongs. Removing the fat or filling the crease is not the answer to long term correction of the problem. It is difficult to say without seeing a photo.