Nasolabial folds. Loose skin or fat loss? (Photo)

Hello, and thank you for your question. In the posted pictures, nasolabial folds are not very prominent. If you are referring to lower face heaviness, which can happen as we age, you could go either route with filler or potentially skin tightening procedures. Filler can be placed in the lateral cheek and in the lower face (jaw and chin) to help provide more structure and definition. Filler in the cheek can help soften nasolabial folds, while filler in the lower face can help with jowls and marionette lines. Skin tightening procedures can range but a possible one to try is Morpheus8. It can help rebuild collagen and tighten the skin over time, but this does require several treatment sessions. However, these are more lasting results compared to filler. I would recommend consulting with a provider who specializes in filler and skin tightening procedures to better determine your treatment options.

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

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.