Where to fill: cheeks to lift nasolabial folds or just nasolabial folds? (Photo)

Question

Where to fill: cheeks to lift nasolabial folds or just nasolabial folds? Best filler for a natural look. Or non filler treatment? or cream suggestions to rebuild collagen and get rid of sun spots.

Nelson Lee Novick, MD · Answer

From the photos, there appears to be flattening of the central and midfacial cheek region with reasonable volume prominence over the cheekbones themselves. For this reason, a nonsurgical mid-face rejuvenation with a volumizing filler would not only restore the more youthful and feminine roundness to the central face, but secondarily improve the smile (nasolabial) lines likely without any need for the direct injection of a filler into the folds themselves. In my NY practice, I would choose Juvederm Ultra Plus XC for this purpose and in my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I would opt for Princess Volume. Treatment in this fashion typically engenders an immediate "Wow!" reaction. For "sunspots" and other pigmentary irregularities, you might consider starting with the nightly application of an OTC retinoid, such as Differin Gel. If additional treatment is necessary, a series of superficial peels using high concentration glycolic or salicylic acid, Jessner's solution or low strength TCA are in order. You would be wise to seek treatment by a board certified aesthetic physician and to be especially cautious for claims for this or that fraxel laser or other light or energy-based devices, as, despite the heavy marketing, the hard science for the true benefits for these relatively expensive treatments is unfortunately still lacking. Best of luck.

Nima Shemirani, MD · Answer

Hi @Is.3187! You would be a great candidate for PDO threads and cheek fillers. Restylane Lyft and Juvederm Voluma work great for lifting the cheeks and to help soften the nasolabial folds. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

I recommend fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Arezou Yaghoubian, MD · Answer

To best answer your question we would need to see a picture of your whole face or at least your entire cheeks to see  what would work best. Usually a combined approach works best in patients with a thicker filler like volume in your cheeks and moderate thickness filler in your nasolabial folds. Please see a board certified plastic surgeon or dermatologist for the best results.

Lawrence Janowski, MD · Answer

The best results would be from a combination of fillers in the nasolabial folds and anterior cheeks, combined with threadlifting to lift the jowl and lower face area.  I prefer MINT threads, Restylane Lyft for the cheeks and Restylane Defyne for nasolabial folds.

Where to fill: cheeks to lift nasolabial folds or just nasolabial folds? (Photo)

Answers (9)

Answer: Cheek and nasolabial fold filler

Answer: Cheek and nasolabial fold filler

Answer: Cheeks and NLF

Answer: Cheeks and NLF

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Everything you need to know about Dermal Fillers

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Where to fill: cheeks to lift nasolabial folds or just nasolabial folds? (Photo)

Answers (9)

Answer: Cheek and nasolabial fold filler

Answer: Cheek and nasolabial fold filler

Answer: Cheeks and NLF

Answer: Cheeks and NLF

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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