Nasolabial folds in a woman in her 20s are often ligamentous and volume-related more than classic aging descent, so a vertical endoscopic cheek lift is not automatically the answer. When midface soft tissue has truly descended, an endoscopic midface approach with Endotine fixation can be a reliable way to lift that vector, with generally better durability than weaker suture-only methods and the ability to refine eye shape and brow tail in selected cases. It will not erase every fold if the crease is etched or volume-deficient. That distinction needs an in-person exam by a surgeon who performs endoscopic midface lifts regularly - and fillers are optional, not mandatory, in that discussion.
