Fillers for nasolabial folds reviews

To “erase” several years from your face, sometimes it’s enough to smooth out the nasolabial folds. Cosmetologists successfully fight this type of wrinkles thanks to special preparations - fillers.

Find out what it is, when the result will be visible after injecting fillers into the nasolabial folds, read reviews about the procedure and look at photos before and after correction.

Why do nasolabial folds appear on the face?

Age-related changes on the face are indicated not only and not so much by wrinkles, but by deep nasolabial folds. Gravity affects all tissues, including those that form the face. As a result, the cheeks move down and the nasolabial folds deepen.

The facial expression becomes gloomy and gloomy. However, nasolabial folds can be observed not only in mature people, but also in young people.

Heredity plays a significant role in their formation, as well as the individual anatomical characteristics of an individual person.

In addition, the following can speed up the appearance of these folds:

1. bad habits;
2. wrong lifestyle and wrong diet;
3. poor-quality or irregular facial skin care;
4. high tone of facial muscles;
5. diseases of internal organs.

In order to significantly reduce the depth of nasolabial folds and rejuvenate the face by 10-15 years, cosmetologists actively use the contour plastic method.

What is the essence of the technique?

The cosmetologist uses injections to inject special preparations called fillers into the area of ​​the nasolabial folds. Wrinkles in the skin are smoothed out by filling the space under the fold with a substance that was injected by a specialist.

Additionally, your own collagen is produced. Thanks to this method, even deep furrows can be smoothed out, giving the face a fresher and more youthful appearance.

Action and how long the effect lasts

With the help of fillers, the lost volume in the nasolabial fold, formed due to the discrepancy between muscle and fat tissue, is restored.

The duration of the effect depends on the drug chosen for correction and ranges on average from six months to 2-3 years. The face will return to its original state when the gel injected into the area of ​​the creases is completely absorbed and removed from the body.

We invite you to look at the photos before and after the procedure:

What drugs are used for contouring?

Fillers used to straighten nasolabial folds are divided into several large groups:

1. Gels based on stabilized hyaluronic acid. These are very popular drugs, successfully used not only to combat nasolabial folds, but also other signs of facial aging. Hyaluronic acid is good because it does not cause allergic reactions, since it is a compound related to the human body. The effect of its use does not last very long - from 6 months to a year.

Gels containing calcium hydroxyapatite. This is a young drug that is gradually gaining the trust of cosmetologists.

Its introduction into the area of ​​the nasolabial folds not only smoothes out the skin, but also stimulates the production of new collagen fibers.

These fibers form a kind of framework, thanks to which the effect of the injections lasts for a period of up to 1.5-2 years, despite the fact that the filler is completely absorbed by that time.

All these drugs are biodegradable, therefore they are temporary.

There is also a group of fillers that are called permanent or permanent. These include biopolymer gels and liquid silicone. Once in the body, these drugs will remain there forever, so their correct administration by an experienced cosmetologist is extremely important.

Administration technique, when changes will be visible

The rejuvenation procedure with fillers takes place in three stages:

1. Anesthesia. 20 minutes before the injection, a special anesthetic is injected into the area of ​​the nasolabial folds. Alternatively, a numbing cream may be used.

The result of the procedure will be noticeable after 7-10 days, when some swelling caused by the injections has passed. The specialist assesses the final effect after 2-3 weeks.

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How does a mesoscooter work against cellulite? Photos before and after the sessions can be viewed here.

Contraindications and possible complications

This type of rejuvenation has a number of contraindications, including the following conditions:

1. acute inflammatory processes of the facial skin, inflamed acne, herpes;
2. pregnancy and lactation;
3. allergy to any components of fillers;
4. violation of the blood clotting process;
5. renal or liver failure;
6. diseases of the cardiovascular system during the period of decompensation;
7. oncological diseases;
8. immunodeficiency states.

After the procedure, some complications may occur:

1. edema;
2. redness;
3. pain in the injection area;
4. itching, burning sensation;
5. injection marks;
6. minor bruises.

All these unpleasant symptoms do not require treatment and go away on their own within 7-10 days.

After an incorrect procedure for introducing fillers into the nasolabial lips or insufficient competence of a cosmetologist, some consequences are possible:

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See photos before and after combined cleansing, learn everything about this method of cleansing facial skin.

Recommendations for skin care before and after treatment

3-4 days before and for 5-6 days after filler injections, taking medications that reduce blood viscosity, such as aspirin and the like, is prohibited. The recovery period after injections passes quickly, the patient is sent home after one hour. It is advisable not to take a horizontal position for the first 4 hours after rejuvenation.

At this time, the head should be higher than the level of the body. In addition, for several hours after the procedure it is forbidden to strain the facial muscles, especially in the area of ​​the nasolabial folds.

On the day of the injections, as well as in the next 2-3 days, you should not apply correctors, concealers, foundations or skin care products to your facial skin.

While there is swelling and redness in the treated areas of the skin, the face should be protected from direct sunlight, solarium, massage, exposure to high temperatures (bath, sauna), and peelings.

Average prices

Rejuvenation through contouring can occur through various medications. The cost of the procedure for filling nasolabial folds with fillers depends on the price of each specific drug and the number of injections required.

One of the most popular fillers for smoothing nasolabial folds is the Swedish drug Restylane based on stabilized hyaluronic acid. One injection of this product costs about 12,000-23,000 rubles.

Juvederm is a drug from the USA containing hyaluronic acid of non-animal origin. One injection will cost the patient 10,000-17,000 rubles.

Teosyal is a gel developed by Swiss biochemists. It contains highly concentrated biosynthetic hyaluronic acid. The price of one injection of Teosyal ranges from 16,000-24,000 rubles.

Radiesse is a filler based on calcium hydroxylopate, synthesized by American scientists. This drug has a high level of compatibility. The cost of one injection into the nasolabial folds of this filler ranges from 16,000 to 40,000 rubles.

The choice of means for correcting nasolabial folds depends on the wishes of the patient, as well as on the condition of his skin. If the wrinkles are of significant depth, then it is recommended to use preparations with high viscosity.

Patient opinion, video

“I was first injected with fillers along the length of all the folds, and after two weeks they made adjustments: they added a little drug and worked on the asymmetry. Both times I was under the influence of local anesthesia. It was unpleasant, but I didn’t feel much pain. Small papules persisted for two days and there was slight swelling.

Fillers filled the nasolabial area and raised the skin in this area. The effect lasted for a whole year, the drug had already completely dissolved, but so far the skin is the same as after the injections. The injections were repeated after 1 year 9 months. The repeated procedure was faster and easier.

There were no bruises or bruises, only swelling, which went down on the fourth day. I’m very pleased with the results, my face is minus 5 years, my mood is great, I have more self-confidence.”

“I didn’t have any improvement, absolutely none. Moreover, the situation seems to have only gotten worse. Some folds appeared that were not there before!

I heard that fillers in the nasolabial folds are not suitable for everyone and an experienced cosmetologist should immediately see whether they will give an effect or not. I'm really sorry for wasting my money!"
Julia :

“I had a small nasolabial fold. After filler injections, it deepened and lengthened within a month. At the same time, my cosmetologist claims that I am making everything up and nothing like that happened. But I’m scared to look at myself in the mirror now and I don’t know what to do now. Conclusion: don’t rush to inject fillers, read reviews on different sites. And yes, if you are going to have a procedure, choose your cosmetologist more carefully.”
Valentina:

“I put fillers in my nasolabial lips. It was unpleasant, but bearable. In the morning, the mirror shocked me: I was swollen, as if I hadn’t stopped drinking for a month. Moreover, the swelling on the left was greater than on the right, it even caused my mouth to squint. I called the cosmetologist, she reassured me, saying that this is how it should be.

After 2 days, the swelling went down by more than half. After 2 weeks, the face returned to normal, and there were almost no nasal lips left! To say that I am satisfied is to say nothing! The face immediately became younger. I will definitely do it again.”

We offer you to see how the procedure for eliminating nasolabial folds goes:

Girls, their nasolabial lips immediately add +10 years.
I couldn’t decide for a very long time. but still I went to my cosmetologist for advice. I’ve been using filler for 3 months now, I was given Dermaren, and I’m happy with the result. The cosmetologist observes me and also says that everything is fine.
I expected bruises and swelling! Nothing like this! The main thing is to find your master and know that he works with a good drug

If you are looking for a good specialist in Moscow, then I recommend Putilova from Mont Blanc. I've been going to her for a long time, I like the way she works. The result after the procedures is always excellent, since the cosmetologist has an individual approach to everyone and does not try to rip off as much money as possible. He will select the fillers you need and advise you. I was injected with Restylane, but I know that there are quite a few companies. I don’t know what their differences are, so I trusted her in this matter.

As my cosmetologist said, even children have them. I put fillers in for the second time. Everything seems to be fine. But I want them not to be there at all. But this is impossible for me. Because I have cheeks. They gave me a styling treatment. M ku. Now I regret that I didn’t put L.ku. Maybe that way I would have completely destroyed them

I had my nasolabials done today, the result is visible right away, but there is a slight bruise and swelling on one side. You can see a lump on one side, but my cosmetologist is a doctor and a good cosmetologist, I am inclined to trust her because I have contacted her more than once and go to her already 4 years old. If anyone needs to write, I’ll give you a link to it and show you my before and after photos. I also had her lips done and Botox injected.

I’m going to inject fillers into the nasolabial areas + in the corners of the lips + Botox in the forehead (the cosmetologist also said Botox is needed around the eyes and in the paws). I'm very afraid. But the reflection in the mirror has ceased to please me over the past couple of years. I will try. I'm 36.

Hello! This year I will already be 40. The reflection in the mirror does not make me happy at all: my nasolabial lips and the oval of my face have swollen a little. The cosmetologist recommended Juvederm filler with lidocaine. I'm very afraid. I read on the internet about swelling and some blue spots. And one more thing: I have thin skin, I’m afraid it will get even worse! Girls, tell me, are there any serious contraindications? They write that if you have caries or a runny nose, you should never do it? Hope.

Related topics

They installed fillers. I really liked the effect. I've been going for six months now and everything is fine!! I will definitely repeat the procedure later!

good afternoon. The cosmetologist performed the procedure for lip enhancement Styage M, and said that after opening it can be stored in the freezer for 2 weeks, she signed me up for the next procedure in 10 days. How long does the drug last after opening? Thank you

I did filler in the nasolabial area and the area between the eye and cheek (to compensate for the lack of tissue). The feeling is not pleasant, but tolerable. I got up in the morning and was in shock. The face is like that of a drunkard after a month of drinking. The left side was more swollen than the right and the mouth was askew; with my left eye I saw a protruding cheek. I couldn't even cry from horror. I called the cosmetologist (she’s a good one) and explained to me that this is how it should be. On the 3rd day she already looked more or less normal, 60% of the swelling had gone away. On day 5, %10 swelling remained. Now 1.5 weeks have passed. I’m happy with the result: there are almost no nasal lips, I look younger. Everything was as I wanted. Although the skin under the eyes has been stretched for a long time and now requires increased attention, I save myself with oils. But whether I’ll do the filler again, I’ll think about it, the view this morning really impressed me, it’s creepy. And the skin of the eyes is stretched for a very long time (4 days of swelling is a lot).

2 days ago I injected Surgiderm into my nasolabial lips, they raised the corners of my mouth, gave it a contour and slightly raised my upper lip. plus they removed some asymmetry in the face along the lips. 4 units each Botox under the mouth to relax the muscles. I didn’t expect that there would be bruises:(((the procedure is tolerable, I’ve been injecting all sorts of cocktails for a long time, so there are no problems with it! But the bruises are annoying. There is some swelling for now. We’ll wait for the result, today there are definitely no wrinkles, there is only swelling and bruise:))) all the work cost 13,000 rubles. I am 33 years old. Arkhangelsk, injected a cosmetologist from Moscow who has eaten the dog at this and who comes to us to train our cosmetologists. My cosmetologist hasn’t gotten the hang of it yet and doesn’t want to do it, she’s afraid :)

I injected Princess Volume into the nasolabiale. The pain is hellish, but the result is worth the pain! I’m 29, but I had pronounced nasolabial folds for a very long time, I did it for the first time about 6 months ago, it took 2 syringes, after a couple of months one wrinkle had to be removed, now everything is fine, the result is obvious))))

good afternoon. The cosmetologist performed the procedure for lip enhancement Styage M, and said that after opening it can be stored in the freezer for 2 weeks, she signed me up for the next procedure in 10 days. How long does the drug last after opening? Thank you

PLEASE ADVICE A COSMETOLOGIST AT THE RIVER STATION, KHOVRINO, WHO WORKS PRIVATELY.

I contour once every two years, that’s enough for me, usually with Juvederm ULTRA, this time I’ll try YVOIRE (Ivoire). My skin is very dry, after contouring it is moisturized and naturally tightened, the unfortunate nasolabial lips are erased like an eraser, I try not to neglect them, because then there will be even more problems with creases. YVOIRE (Ivoire) was recommended by a cosmetologist at Beauty Trend, the last time I did it there, I really liked it, there were no bruises, and there was no swelling.

Hello, I’m 25, in a week I’m going to get injected all over my face, Botox on the forehead and between the eyebrows, under the eyes and fillers in the nasolabial area, of course! I can’t wait, but this is all for preventative purposes, there’s nothing fatal yet

I applied the nasolabial drug Teosial and the bruises went away within a week. when they did it it hurt, although they gave me pain relief before. I have a question for those who did the “roller” on one side and there was zero result (in fact, it was because of this side that I went because the nasolabial wrinkle was only on one side and there was a clearly visible crease) and on the other side the roller was larger it remained as it was and a nasolabial wrinkle appeared although it was not there



and the saddest thing is that this place began to turn brightly black and blue in the cold, like a bruise; this began after 1.5 weeks. Has anyone had this happen?? The doctor said to wait a month and supposedly it will go away on its own. She also said that for some people the gel appears blue through the skin... but if it is visible, why is it not visible in a warm room, but when you go outside such a “bruise” appears? She said that this is an individual feature of my skin. I think that she is lying and did not administer the drug to me correctly. Has anyone encountered “blue mustaches” at injection sites? how did you get rid of it? And in general, how long should these rollers stay under the skin? I had it done at a well-known clinic, the doctor was highly recommended... and now I look at myself in the mirror and understand that I did it in vain.

Hello, I present to your attention various drugs such as: Surgiderm 18/24XP/30/30XP Juvederm Ultra 2/Ultra 3/Ultra 4/Hydrate/Ultra Smile Juvederm Volift/Volbella/Voluma with Lidocaine Teosyal 27G Deep Lines/30G Global Action/Kiss /First Lines/ Ultra Deep/Touch Ur/27G Deep Lines Puresense/ 30G Global Action Puresense/27G Kiss Puresense/ Ultra Deep Puresense/Ultra Deep/First Lines Puresense/ Meso/Ultimate/Redensity I Puresense/Redensity II Puresense Princess Rich/Filler /Volume Stylage Hydro/Hydro Max/Lips/S/M/L/XL/XXL Aquashine/Aquashine BR Macrolane VRF30 – 10/20ml Filorga NCTF 135/NCTF 135HA/X-HA Volume/X-HA 3/M-HA 18 /M-HA 10 Radiesse™ - 1.5ml Glyton 1, 2, 3, 4 Viscoderm 1.6 Ellansé™-S, M, L Ial-System/Ial-System ACP Jalupro НМW/Jalupro Botox 100 IU Dysport 500 IU Bocouture 50 IU For any questions you may have, please contact us by email. address - [email protected]

I do not advise anyone to inject their nasolabial lips. I did it a week and a half ago. Looks like she's stuck candy in her cheeks. Surgiderm 24xr.

Fillers do not inject into the nasolabial area! This is already the last century, they model the cheekbones and the orbital area. Due to this, the nasolabial area is strengthened and it smoothes itself out. Just last week I had Juvederm Volift nasolabial prophylaxis with Lola Babaeva (Sokol).

Maria, I did, my review is here from 20.09.14. A year and 2 months have passed, everything is fine. Perhaps you were injected too much. There shouldn't be any rollers, I didn't have any. You should have been massaged after the injection. They warmed me up and I also warmed up for a couple of days myself. Regarding the blueness, it really seems to depend on the density of the skin, in theory it should go away. My skin is very thin and sensitive, I can say that I noticed a slight bluish glow, but only in the cold. it completely disappeared after about a month. but since I was using foundation, nothing was visible. When they did it for me, I asked the cosmetologist not to inject everything, although she insisted. As a result, she and I agreed that if I feel like I need to finish it off, I’ll come to her in about 7-10 days. but since everything was fine, I didn’t go to finish it. I'm very pleased with the result. I think it should go away for you too, they just injected you with a larger volume.

Fillers do not inject into the nasolabial area! This is already the last century, they model the cheekbones and the orbital area. Due to this, the nasolabial area is strengthened and it smoothes itself out. Just last week I had Juvederm Volift nasolabial prophylaxis with Lola Babaeva (Sokol).

PLEASE ADVICE A COSMETOLOGIST AT THE RIVER STATION, KHOVRINO, WHO WORKS PRIVATELY.

I do not advise anyone to inject their nasolabial lips. I did it a week and a half ago. Looks like she's stuck candy in her cheeks. Surgiderm 24xr.

Maria, I did, my review is here from 20.09.14. A year and 2 months have passed, everything is fine. Perhaps you were injected too much. There shouldn't be any rollers, I didn't have any. You should have been massaged after the injection. They warmed me up and I also warmed up for a couple of days myself. Regarding the blueness, it really seems to depend on the density of the skin, in theory it should go away. My skin is very thin and sensitive, I can say that I noticed a slight bluish glow, but only in the cold. it completely disappeared after about a month. but since I was using foundation, nothing was visible. When they did it for me, I asked the cosmetologist not to inject everything, although she insisted. As a result, she and I agreed that if I feel like I need to finish it off, I’ll come to her in about 7-10 days. but since everything was fine, I didn’t go to finish it. I'm very pleased with the result. I think it should go away for you too, they just injected you with a larger volume.

Hello! I work 350m from the Sokol metro station. Dermatovenerologist, trichologist, cosmetologist. Specialist in injection techniques. Please contact)

Olga Vyacheslavovna, please write to me, geographically also on the falcon, I want to correct the nasolabial. [email protected]

Girls, hello. We are looking for clients for cosmetology services and referring them depending on their territorial location. If you are interested, write to [email protected]. We specialize mainly in beauty injections (fillers, biorevitalization), as well as threads. New Year's anti-crisis offers are now in effect for newcomers and gifts have been prepared.

I've done nasolabials before, although I'm quite young for this kind of procedure. The facial expressions of the mouth are too active, plus the not entirely correct structure of the face also affects it. I used to do it in one clinic, a little premium, but now they have opened another network, a less expensive format and more youthful, although the doctors, devices, etc. are all the same (Epilike, if that). I also do diode hair removal there now.
The filler was the usual hyaluronic acid, I don’t remember which one. When they did it for the first time and I saw the result, I’ll be honest, I wanted to loudly and indecently express my happiness, because my creases parted like ships at sea) I used to complete it a lot, because the foundation cream emphasized it, and in principle it’s not very beautiful for a young girl to walk with severe wrinkles. I did it a relatively long time ago, but the result is still visible even in the quality of the skin, so to speak. Hyaluronic acid itself is useful because... moisturizes the skin (not itself, but these are details), so it turned out to be very useful and life-giving for my nasolabial lips.
But in general, I recommend resorting to such methods only if everything is really bad. If you want it simply because of the popularity of the method, I don’t recommend it; natural beauty is always better and more valuable.

Nasolabials. Fashion and beauty

Girls, you helped me a lot with choosing the color of my shoes, thank you again! I have a new task - to learn how to make nasolabial folds less noticeable with makeup. Maybe you can recommend some tools or a training video?

When to start injecting? Botox and hyaluronic acid at 20, 40.

Anti-wrinkle cream, Botox or hyaluronic acid injections

How to choose a cosmetologist.

Probably, many of my readers have already noticed how often I say that the success of the procedure depends not so much on the device, method or agent administered, but on the qualifications of the specialist who performs this procedure. That’s right - even the best drug, administered in the wrong place and in the wrong quantity, may not only not give the expected result, but also create serious problems with appearance and health. I am often asked how and by what criteria I chose my cosmetologist. IN.

Review from Mom's daughter - Korean cosmetics.

Everything from the Kornik purchase in the opto-over. I'll apologize right away. I wrote a lot.))) Review about Korean cosmetics. First about myself. Shoulder-length hair (currently 10-15 cm below the shoulders). The hair is quite thick, but thin, randomly curly. Hair that is over-dried by dyes and severely damaged by summer holidays. They required treatment, they did not grow back because they broke off at the ends and fell out a lot. The skin was once oily, now it is mixed and requires strong hydration. The pores are quite enlarged, very often.

Nasolabials - if you don’t get nasolabials

What is the best way to remove nasolabial folds? They suggested injecting fillers into the cheekbones, so... Due to the fact that the cheekbones will become more voluminous, the cheeks will be tightened and the oval of the face will improve, thereby eliminating nasolabial folds. Or, the old-fashioned way, inject fillers into the nasolabial area? The first method is more attractive, but for some reason I’m afraid of round doll cheeks :) And also, if anyone has done or is generally familiar with this “procedure,” which filler should I choose? And how many syringes (volume) will you need?

Which filler - which filler is better than Biocontour.

The idea came up to put fillers in the nasolabial areas. The folds are not very deep; thin wrinkles opposite the corners of the lips and sagging under them are more pronounced. 38 years. I realized that there are Surgiderm, Juvederm, Restylane, etc. What's the difference between them?

Give beautiful skin to the masses! User's blog La vida on 7ya.ru

Pores? Wrinkles? Oily skin? Is makeup floating? I can suggest a wonderful product that perfectly eliminates almost all skin imperfections during makeup. For a long time I did not dare to buy such a product. It seemed that all the grouts/bases/primers would clog my pores once and for all and there would be much more problems than benefits. The latest powder from the Missha brand captivated me once and for all and I decided to buy Missha The Style Art Designing Pore Cover Balm The cutest powder-colored tin.

Favorite assets: Hyaluronic filler spheres.

Hyaluronic filler spheres (INCI: Ethylhexyl Palmitate, Silica Dimethyl Silylate, Butylene Glycol, Sodium Hyaluronate) Description: delivery system, active component. Country of origin: France (Seppic). Hyaluronic filler spheres consist of a mixture of high and low molecular weight hyaluronic acid. Microscopic dehydrated particles, when applied to the skin, easily collect in recesses (wrinkles), where they absorb moisture coming from the skin. The unique ability of spheres to swell.

Recommend a trusted, good cosmetologist, please

I want to give myself Botox injections in my forehead and fillers in my nasolabial folds. Please advise a cosmetologist in Moscow who performs these procedures efficiently. It is advisable to work with Juvederm. I want to put Juvederm ultra in my nasolabial

Well, since everyone is silent, I can traditionally recommend mine
s ng left tsnikvi, it was a _cosmetologist_ doctor
why I left - I don’t know
the site is in disarray, I found it in this form after NG - nothing has changed, call

I haven’t had my nasolabials done by her yet, but I’m planning to, and she recommends Juvederm4 for my skin. maybe 3
I've been using Dysport in the forehead for several years now, and I'm very happy with it. the face is alive, the eyebrows are alive, but there are no wrinkles. I do it rarely, though - about once every two years, but that’s enough for me (unlike Botox)

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Nasolabial - what? Fashion and beauty

33 years old, after the second birth she became thin - her face “fell”, the nasolabial folds were pronounced. I did biorevitalization - 4 procedures, there is an effect, but it is very short-lived. Fillers are a bit scary, and maybe too early? Dysport? Botox? Is there anything really effective and relatively safe? Help

fillers in the nasolabial lips, or straight implants in the cheekbones? - put.

top - brainstorming, i.e. traditional and non-urgent. those. I want to hear as many opinions as possible now, with arguments if possible, after which I can slowly make a decision. I have been working on my face closely for only six months - massage, peeling course, professional masks from a cosmetologist, meso-roller. I have been injecting Dysport into my forehead for about 4 years, but not for the wrinkle as such, but to prevent it from happening (I block the preventive facial muscle, which almost managed to create an ugly wrinkle on my forehead). intends to continue in the same spirit from what.

My opinion is that it’s too early to put fillers on the cheekbones. At 33 years old.

It takes a long time to explain, I just studied this issue for a while.
briefly: this is a very dense hyaluronic acid and there may well be tissue fibrosis from the input. There are few good terns who are ready to answer for the results, etc.

Oily skin is a gift from fate!! With age, it will become less oily, but it will not show wrinkles for a long time.

BUT: nasolabial fillers will only aggravate your situation, because... and the skin is heavy and also fillers and all this stuff will pull down the whole face.
That is, if you still decide to do fillers in the nasolabial area, then the cheekbones should be done automatically.
But doctors don’t even do cheekbones (fillers in them).

It seems to me that the care protocol will suffice for now:
Take a course of active vacuum massage: LPG or dermotonia. I like dermotonia better.
Take a course of acupuncture - they really tighten the oval of the face and remove jowls
Consider a few exercises to strengthen your face shape.
Either do it yourself, or go to Revitonica (see Yandex - this is a school for facial massage)
Somehow like this

Fillers and implants: what to choose? Cosmetology.

What and in what case would be the optimal choice?