Actual Real Self Patient Comment: Hi I am 26 years old and I don’t actually have the fold it seems like I can’t feel it but recently I have noticed the lines it’s more of a shadow and it’s pretty dark sometimes I feel like it makes me look sick or like a smoker I don’t know if I need fillers or may be a plasma pen or what can help lighten these lines I want to protect my youth as long as possible. Sometimes it’s not so dark sometimes it’s very dark and I really don’t like it I’ve had a light shadow probably since early 20s

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Dr. Persky’s Reply: I would avoid using an aggressive treatment such as plasma pen for your naso- labial groove. Instead I would treat you with 1 syringe of Voluma in your cheeks above the fold which will correct your concerns. It is essential that you choose your expert injecting physician very carefully. Good luck and be well.