Should I start filling Nasal Folds at 22 or will they look worse over time? (Photo)

Question

I've always had nasal folds that are pretty visible since I was a child. Recently though I've lost 15lb and have noticed that my nasal folds have definitely worsened. Would you recommend filling this area with or would that be a bad idea as I'm only 22 and will worsen the look of them as I age? What are your recommendations? Are there laser treatments that would be better at tighten the skin?

Nelson Lee Novick, MD · Answer

22 is not too young. I actually started my daughters-in-law at age 19 as preventative treatment with fillers and Botox. This is known as PREJUVENATION. It is believed that the earlier prejuvenation is undertaken, the less likely will be the need for more aggressive surgical interventions down the road, and even if requried, the later they will be needed. Treatment with natural HA fillers (as opposed to permanent fillers--which I do NOT recommend), since they are metabolically removed with time, allows for additional appropriate corrections to be made down the road when age-related changes in volume and skin structure inevitably occur. You would be wise to make certain to consult with a board certified cosmetic dermatologist and best of luck.

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

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. Dermal fillers are a versatile cosmetic treatment that can address various concerns and enhance facial features. While no specific age is considered "right" for dermal fillers, it is generally recommended for individuals who have started to notice signs of aging, such as fine lines, wrinkles, or loss of volume in certain areas of the face. Since you have not had any fillers or cosmetic procedures, starting with more minor treatments before trying too many things can be valuable. Injections like Juvéderm and Restylane are hyaluronic acid fillers that create natural results while smoothing wrinkles and folds. There are also RHA fillers that can combat moderate dynamic folds.

I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon and expert injector. They will be able to evaluate your concerns and treatment history, then determine the best course of action to achieve your desired results.

Eric M. Joseph, MD · Answer

In our practice, we nearly exclusively used microdroplet Silikon-1000 as a permanent soft tissue wrinkle filler. Your age would not preclude you from receiving injectable fillers, however, the experience of your doctor would be most important for achieving a desirable result while minimizing complications. I hope this is helpful! Sincerely, Dr Joseph

Camille Cash, MD · Answer

Fillers are a great tool to improve the appearance of nasal labial folds and should give you a nice result.  This will not prevent natural aging nor will it make it worse.  We encourage patients to use medical grade skin care products such as Transform MD and to wear sunscreen every day to keep skin looking healthy.

Should I start filling Nasal Folds at 22 or will they look worse over time? (Photo)

Answers (7)

Answer: Injectable fillers are often helpful for reducing the appearance of nasolabial folds and wrinkles

Answer: Injectable fillers are often helpful for reducing the appearance of nasolabial folds and wrinkles

Answer: Fillers

Answer: Fillers

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Should I start filling Nasal Folds at 22 or will they look worse over time? (Photo)

Answers (7)

Answer: Injectable fillers are often helpful for reducing the appearance of nasolabial folds and wrinkles

Answer: Injectable fillers are often helpful for reducing the appearance of nasolabial folds and wrinkles

Answer: Fillers

Answer: Fillers

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.