I am a 35 year old Asian female. As with most Asian females my age, my skin is great. I have no wrinkles/fine lines. However, I have chubby cheeks with deep nasolabial lines (especially on the left side) and they seemed to have gotten worse with age. They are causing me to suffer depression and avoid social gatherings now. I am VERY fit at 5'1", 97 pounds, and 16% body fat. (In the picture, I am about 5 pounds heavier though.) Desperate for recommendations!
July 6, 2014
Answer: Injectable Fillers for Nasolabial Folds Deep nasolabial folds are a problem at any age and there is no one single treatment that can remove them. The best you can do is to lessen their depth and the first place to start is with using a temporary injectable filler to see if volume addition produces a satisfactory improvement. There are other methods of plumping up the nasolabial folds but injectable fillers are the first and simplest place to start.
Helpful
July 6, 2014
Answer: Injectable Fillers for Nasolabial Folds Deep nasolabial folds are a problem at any age and there is no one single treatment that can remove them. The best you can do is to lessen their depth and the first place to start is with using a temporary injectable filler to see if volume addition produces a satisfactory improvement. There are other methods of plumping up the nasolabial folds but injectable fillers are the first and simplest place to start.
Helpful
Answer: Nasolabial lines treatment Dear Lana Caralee, Although difficult to tell from your photo, as you have a half-smile, which increases the nasolabial fold, nasolabial folds can be quite complex. Your particular clinical description of very full cheeks, an oval face with deep nasolabial folds needs to be approached carefully and conservatively, given your young age. Soft tissue fillers can sometimes be an excellent option. Products such as Juvéderm® Voluma™, Perlane® and Teosyal to fill the nasolabial folds can usually improve the situation. Care and attention not to overinject the cheek malar eminence, which may make your nasolabial fold (or smile line) deeper, should be a precautionary measure. The use of your own fat may also offer long-term improvements in the nasolabial fold, although with your fit 16% body fat figure, this represents an unlikely option. On rare occasion, small endoscopic, midface approaches through the temporal hair area to reposition cheek fat pads can alleviate some of the droopy effect of the cheek fat pad on the smile line and improve the appearance of the smile line, although this is likely too aggressive of an option for your young age. Smile lines, although aesthetically concerning to many patients, are actually a very normal anatomical variant. Not to have a smile line is not to be human and most individuals without a smile line look rather simian. Softening your smile lines should be the goal. Least aggressive options should be explored first. My advice would be to seek a well-trained aesthetic injection specialist, plastic surgeon, facial plastic surgeon or dermatologist or expert injection physician to discuss your options. Please explore the following link [My staff will insert the link for soft tissue fillers to my website]. I hope this discussion helps. Sincerely, R. Stephen Mulholland, M.D., Certified Plastic Surgeon, Yorkville, Toronto
Helpful 3 people found this helpful
Answer: Nasolabial lines treatment Dear Lana Caralee, Although difficult to tell from your photo, as you have a half-smile, which increases the nasolabial fold, nasolabial folds can be quite complex. Your particular clinical description of very full cheeks, an oval face with deep nasolabial folds needs to be approached carefully and conservatively, given your young age. Soft tissue fillers can sometimes be an excellent option. Products such as Juvéderm® Voluma™, Perlane® and Teosyal to fill the nasolabial folds can usually improve the situation. Care and attention not to overinject the cheek malar eminence, which may make your nasolabial fold (or smile line) deeper, should be a precautionary measure. The use of your own fat may also offer long-term improvements in the nasolabial fold, although with your fit 16% body fat figure, this represents an unlikely option. On rare occasion, small endoscopic, midface approaches through the temporal hair area to reposition cheek fat pads can alleviate some of the droopy effect of the cheek fat pad on the smile line and improve the appearance of the smile line, although this is likely too aggressive of an option for your young age. Smile lines, although aesthetically concerning to many patients, are actually a very normal anatomical variant. Not to have a smile line is not to be human and most individuals without a smile line look rather simian. Softening your smile lines should be the goal. Least aggressive options should be explored first. My advice would be to seek a well-trained aesthetic injection specialist, plastic surgeon, facial plastic surgeon or dermatologist or expert injection physician to discuss your options. Please explore the following link [My staff will insert the link for soft tissue fillers to my website]. I hope this discussion helps. Sincerely, R. Stephen Mulholland, M.D., Certified Plastic Surgeon, Yorkville, Toronto
Helpful 3 people found this helpful