I'm looking for a permanent solution for the reduction of nasolabial folds, any suggestions? (Photos)

Question

I have only one prominent nasolabial fold that has irritated me for years. It seems to be prominent on my right side, but not my left side. I have been getting fillers, but they are expensive and don't last long. I'm looking for a permanent solution and heard about paranasal implants. Would this be a solution to fill in the crease? Are there any other permanent solutions?

Hung William Song, MD · Answer

Hi thanks for this question. It looks like part of the reason you have a more prominent fold on your left side is because you have less volume in your left cheek. This can be easily corrected by adding volume to the cheek and a little bit to the fold. You best option for long term results is to either use your own fat or a product called Bellafill®. Because these are very long lasting results, you should go to someone with a lot of experience, but you should be able to get very long term and natural looking results.

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

Shaun Patel, MD · Answer

I believe fillers are the best treatment option for your nasolabial folds. I would consider filler injection to the cheeks and nasolabial folds for optimal results.  You could consider Sculptra for a longer lasting result. HA fillers should last 9-12 months.

Gerald Wittenberg, MSc, DMD (retired) · Answer

The answer lies in augmenting the bone support 'under' the fold rather than 'filling' the soft tissue overlying the actual bone. That is, either puff up the soft tissue or lift the soft tissue upwards (which is long term). The procedure is performed from inside the mouth.

I'm looking for a permanent solution for the reduction of nasolabial folds, any suggestions? (Photos)

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