Fix and Fill in Laugh Lines

As we age, lines begin to develop at the corners of the nose and extend down toward the mouth and beyond, often giving the appearance that we are much older than we really are. Known as nasolabial folds or marionette lines, these medium-to-deep facial creases are primarily caused by a loss of facial fat and less elastic skin, coupled with sun exposure and genetics.

Facial fillers can temporarily decrease the appearance of folds. When it comes to addressing medium to deep folds, there are a variety of different options available, including injectable fillers, in addition to fat. But which filler is right for you might be greatly influenced by your age. In younger patients with minimal folds or creases, hyaluronic acid fillers like Juvéderm and Restylane, which plump up the area by attracting water, work well. Patients in their 50s or older usually have some fat atrophy in their cheek fat pad, which causes a collapse of the cheek centrally in the face, exaggerating the appearance of the fold. For this type of patient, I prefer collagen stimulators like Sculptra, Voluma or Radiesse, because they restore the volume in the cheek while correcting the fold.

The Kopelson Clinic offers a myriad of advanced dermatological treatments and procedures, Dr. Kopelson and his staff provide personalized clinical suggestions and cosmetic dermatology services to customize each patient’s specific medical and cosmetic concerns.

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