Is There Anything I Can Do to Reduce my Nasolabial Folds Naturally?

Question

I'm 23 and in my opinion I look like I'm in my mid to late 30s. I have deep nasolabial folds which and enlarge pores which to me do nothing but make me look even older. Is there anything I can do to reduce my folds, pore size and dark spots. I'm considering surgical procedures because this really affects my confidence. Another thing is one side of my faces looks a lot more youthful than the other side. About me: I'm fairly active. I do about 6 - 9 hours of cardio weekly.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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

Jill Hessler, MD · Answer

Fat injections can be used to restore volume to the face and soften nasolabial folds. Many patients like this option as it is your own fat and a more natural approach. The longevity of fat is also generally considered longer than fillers.

Michael I. Echavez, MD · Answer

Pictures would really be helpful to give you the best advice. There is not a natural treatment for helping with nasolabial folds. They sometimes can be improved with surgery and sometimes can be improved with the use of injectable fillers. You would need to be examined to determine the best options for you.

Kanwal Bawa, DO · Answer

Profound by Candela Medical is a radiofrequency microneedling device, and is the only treatment in the world that can increase Elastin by 500% and Collagen by 200% or more. It also increases Hylauronic Acid (think Juvederm) naturally. These are the proteins that snap your skin back into place and build volume without fillers. It is a single treatment protocol so there is no need for packages (unlike other radiofrequency microneedling devices on the market). I have had excellent results with nonsurgical facelifts and neck lifts with Profound. This treatment literally rebuilds the very foundation of your skin, and continues doing so for up to a year after the procedure.

Jennifer E. Lee, MD · Answer

If you're looking to avoid surgery and the injection of medications, cosmetic acupuncture is an option to consider. Insertion of needles in the skin stimulates collagen production and circulation, resulting in a firmer, fuller appearance. Added benefits would be that the rest of your face (forehead, eye wrinkles, undereye circles, etc) would also appear healthier, and patients usually report that even with targeted cosmetic acupuncture treatment, they feel better and more relaxed in general, since acupuncture is a holistic treatment that works by stimulating your body's own internal healing mechanisms.

Z. Paul Lorenc, MD · Answer

You sound like a perfect candidate for Sciton's "Forever Young BBL" treatment. It combines both broad-band and infrared light to correct skin discoloration, reduce pore size, and firm the skin. A recent study released by Stanford University shows that patients who did a series of these treatments and continued with maintenance treatments 2-4 times a year, had skin that looked and behaved years younger than it actually was. In fact, a blinded panel of physician evaluators determined BBL treated patients appeared 9 years younger than their actual age. This would definitely be a good first step for you and would enhance any other treatment you decide to do in the future.

Hratch Karamanoukian, MD, FACS · Answer

Nasolabial folds become prominent with weight loss and this is seen frequently in those who have lost massive amounts of weight with bariatric surgery. Barring that, they naturally form with volume loss of the face with aging. Since you are young, it is probably accelereated in your case and may be partly genetic - perhaps your mom or aunts have similar features .. who knows - despite all of the above, you can do something non surgical such as getting facial fillers (Radiesse or Juvederm) or autologous fat transfer which may last longer and be more cost effective in the long run.

Clyde H. Ishii, MD, FACS · Answer

The large pores may respond to a retin-A based skin program and possible nonablative laser to follow. Deep nasolabial folds at a young age suggests loss of volume combined with early loss of elasticity in the skin. The above retin-A program can firm up the skin and I would start with this modality. If the nasolabial folds remain deep then you may consider soft tissue fillers.

Is There Anything I Can Do to Reduce my Nasolabial Folds Naturally?

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