Would fillers for the lower face help with aging concerns? (Photos)

Question

I'm in my late 30s and have fairly good skin, but I feel that my lower face ages me because of the way my nasolabial structure, chin, and planes of my cheek converge. Could fillers or some other procedure assist with this? Thanks!

Mahmood Siddique, DO · Answer

Yes, fillers can be helpful for addressing early signs of aging in the lower face. In your late 30s, volume loss and changes in facial structure can create shadows or folds that make the face appear older, even with good skin quality.
Strategic filler placement in areas like the chin, jawline, nasolabial folds, and cheeks can:
* Restore facial balance and contour* Soften lines or folds* Provide a more lifted and refreshed appearance
Other non-surgical options like biostimulatory fillers or skin tightening treatments (e.g., RF-based or microneedling with RF) may also enhance results depending on your specific anatomy and goals. A tailored approach based on facial structure typically yields the most natural outcome.

Jeffrey H. Spiegel, MD · Answer

Nasolabial folds (NLF) and marionette lines may be caused byvolume loss higher up in the face, under the eyes and the temple area. Before filing the lower face, make sure to have the upper face examined for volume loss. You'd rather fix the problem where it originates rather than placing a bandaid. More often than not, ensuring proper volume correction in the temples and placing just a minimal amount of botulinum to the DAO muscle along the mouth lines can be a great solution to a drooping face.

Anna Chacon, MD, FAAD · Answer

Yes, fillers can help address aging concerns in the lower face. Injectable fillers, particularly hyaluronic acid (HA) fillers, are commonly used to correct signs of aging such as nasolabial folds, marionette lines, and thinning lips[1][4]. These fillers can also be used to reshape the jawline and improve facial proportions, which may help with the convergence of facial planes you mentioned[2].

HA fillers are effective for several reasons:

Reversing Volume Loss: They help restore lost volume in the face, which is a hallmark of aging[1][4].
Improving Skin Quality: By increasing hyaluronic acid levels in the dermis, they can enhance skin elasticity and hydration[5].
Targeted Treatments: Modern HA fillers come in various formulations, allowing for targeted injections into specific tissue planes for more refined outcomes[4].
Other procedures, such as energy-based therapies (lasers, radiofrequency devices), may also be considered in conjunction with fillers for comprehensive facial rejuvenation[1]. However, fillers are a popular choice due to their ease of use and relatively long-lasting results, typically lasting between 6 to 12 months[1].

If you are considering fillers, consulting with a dermatologist or plastic surgeon can help determine the best approach for your specific concerns.

Michelle Zweifler, MD · Answer

When addressing the nasolabial fold, filler may be injected into the fold directly to camouflage or soften it, more commonly injected into the cheeks to help "lift".  Filler can be used for the chin and along the jawline for contouring.

Nelson Lee Novick, MD · Answer

At least from the photos provided, there appears to be a rather sharp triangulation of the lower third of the face. In the hands of an experienced, board certified cosmetic dermatology filler expert, the use of an appropriately robust HA filler properly injected can be used to enhance the contours of the lower third of the face to create a more ideal, heart-shaped facial contour extending from the cheeks to the chin. In experienced hands, this can be achieved in a ten to fifteen minute treatment session with immediate, on-the-spot results, which usually engenders little to no significant post-treatment downtime. Hope this helps and best of luck.

Anna Petropoulos, MD, FRCS · Answer

Hello and thank you for your question! In your late 30s, it's common to notice changes in the lower face due to volume loss and shifting facial structure. Dr. Petropoulos's highly-effective approach involves a layered treatment protocol to address these concerns.

We start with RF microneedling to improve skin quality and stimulate collagen, especially in the lower face. Once the skin is firmer and more responsive, we follow with dermal filler in the upper face (temples and cheeks) to restore foundational support and subtly lift the lower face. Finally, we use Sculptra and/or targeted lower face filler to replace lost volume, enhance contour, and support collagen production.

This staged approach yields natural, long-lasting results and restores facial balance while keeping you looking like your best self.

Often, the best results come from a personalized combination of treatments, designed by an experienced professional.

Best of luck in your journey!
Genie Alexander, RN BSN 
for Anna Petropoulos, MD FRCS
Center for Classic Beauty
Boston & Danvers, MA

Glenn Murray, MBBS · Answer

Your skin is wonderful for your age and whatever treatment you do, my advice is to keep it to the bare minimum. If you wanted to try fillers, you could have a small amount placed into your cheeks for a slight lift and softening of the nasolabial folds, or for a less invasive/non-injectable option you could consider a few sessions of ultraformer for skin tightening.  
Skin boosters like Volite/rejuran/profhilo are also great for general skin health, anti aging and improving the firmness of the skin.

Camille Cash, MD · Answer

Fillers can be used to help contour various areas of the face.  Juvederm Volux is designed to address jawline contours.  Other HA fillers can provide lift and enhance the cheek area.  Treatments such as Morpheus8 can improve overall skin tone and texture.  I've included a video I hope you find helpful

Would fillers for the lower face help with aging concerns? (Photos)

Answers (8)

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