Does my lack of cheekbone definition cause my eyebags and nasolabial fold? (Photos)

Question

Hi, im in my mid 20s, male, scandinavian, 173cm. I have had eyebags pretty much my entire life, however recently i have started to notice a nasolabial fold on one side of my mouth. I think its due to assymmetry in my jaw, since it is crooked to one side, together with lack of definition in my midface. I am wondering which procedure would help me? Ive been looking into cheekbone implants/fillers, would this be a good option to get more definition in my midface?

Anna Chacon, MD, FAAD · Answer

The concerns you're experiencing with under-eye bags and nasolabial folds can indeed be influenced by facial structure and asymmetry. Lack of cheekbone definition can contribute to these concerns by affecting how light and shadow fall on your face, which can emphasize areas like under-eye bags and nasolabial folds.

Here are a few options you might consider:

Dermal Fillers: Fillers can be used to enhance cheekbone definition, which may help lift the midface and reduce the appearance of nasolabial folds. They can also be used directly in the under-eye area to address tear troughs.

Cheekbone Implants: This is a more permanent solution compared to fillers and can provide significant definition to the midface area. It's a surgical procedure, so it involves more recovery time and risk compared to non-surgical options.

Fat Grafting: This procedure involves transferring fat from another part of your body to the midface, which can enhance volume and improve symmetry.

Non-Surgical Skin Tightening: Treatments such as radiofrequency or ultrasound can help tighten the skin and reduce the appearance of nasolabial folds.

Before deciding on a procedure, it's important to consult with a board-certified plastic surgeon or dermatologist. They can assess your facial structure and provide personalized recommendations based on your anatomy and aesthetic goals. They may also suggest treatments to address facial asymmetry, which could help with your overall concerns.

Keera Kang, MD · Answer

Hi Affectionate256169! I looked through your pictures and even though I cannot do an examination in person, I can see that you lack some volume in the midface (especially the malar - cheek region) I assume the Rt side lacks more than the left. The two options you mentioned fillers/implants seem to be good options. By filling in the malar region you can get more 3D definition in the midface region, it will help hide the eyebags , and also it can help with the nasolabial folds a bit bc the added volume will help with lifting up the NLF a bit. I recommend most of my patients, if they are new to cosmetic treatments, to go for a less invasive treatment first (like fillers then implants) bc some actually regret doing the treatment bc it wasn’t exactly what they were looking for and it is easier to dissolve fillers rather than implants - you need to do a removal which can be a hassle. Also if you intend to get fillers I suggest you to get a high G prime filler bc the type of cheek filler you need needs to be dense and less pliable since it needs to be holding up your cheek region like a bone. Also after that is done I would do a bit more in a different plane with a different softer type of filler for a softer mild midface volume that looks natural and harmonious with the rest of your face. I hope this helped! And I recommend you to go to a physician with clinical experience and passion for cosmetic dermatology for the best results

Does my lack of cheekbone definition cause my eyebags and nasolabial fold? (Photos)

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Everything you need to know about Cheek Fillers

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Does my lack of cheekbone definition cause my eyebags and nasolabial fold? (Photos)

Answers (2)

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Everything you need to know about Cheek Fillers

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