Ben Talei, MD
DIRECTOR
Board Certified.
Dual Fellowship Trained.
Facial Plastic Surgeon.

Under Eyes, Cheeks & Nasolabial Folds

Although the use of facial fillers is widespread and commonly performed by a large number of practitioners, results can vary widely. When analyzing the folds around the mouth (nasolabial folds), cheeks and under the eyes (nasojugal groove), they should be analyzed as a single unit rather than separately. This will help produce a more natural and longer-lasting harmony in the face. Dr. Talei is an expert using fillers and Botox, and his office is a popular destination for Botox and filler repair when other practitioners experience issues.

Under Eyes

The tear troughs and under eyes have a tendency to hollow over time as the soft tissues change and the cheek slowly descends. The same descent of the cheek fat pads causes the shadow of the nasolabial fold to deepen. The under eyes can also look darker due to increased skin density (accordion effect), skin transparency, which would reveal the hue of the orbicularis muscle and vessels or hyperchromia (increased skin pigmentation)

Using fillers in this area is an effective and easy way to treat under eye hollows. The cannula technique allows more areas to be addressed without risk and without bruising. Dr. Talei prefers Restylane and Belotero under the eye in order to avoid complications that come with other fillers.

Cheeks

Rejuvenation of the cheeks using filler has the power to make a patient look refreshed and more elegant immediately. Conversely, if is injected too low or lateral, the patient may leave looking like a chipmunk.

The cheek can be separated into several subunits and different areas of tissue density. Most patients are best treated from high to low in order to maintain more volume higher in the face. For this reason, it is almost always better to address the under-eyes and cheek before treating the nasolabial folds. It is also important to realize that there is a significant difference between augmenting bony volume and soft tissue volume with fillers, as each will have a very different effect and length of duration.

The nasal sidewall, or the slope extending down the side of the nose, deepens over time in most patients and is often overlooked. This area can easily be refreshed using a cannula technique to volumize the flattened fat pad. Filling of this area is almost always combined with the filling of the under eye to maintain a natural taper and transition to the mid-cheek region.

The lateral cheek can easily be augmented to enhance bony definition and contour. This increases the lateral projection of the cheek on frontal views. The lateral cheek filling can be connected to the under eye anteriorly and tapered posteriorly to produce the most natural 3-D result. The posterior taper is necessary to avoid a sharp drop-off and to separate the temple from the zygomatic arch. When the lateral cheek augmentation is performed subtly, patients notice the change most when applying contouring make up. A slight bit more can provide a very elegant heart shape to the face, which gives the appearance of having been lifted.

In men, it is very important to address all three vectors of cheek projection in order to maintain masculinity while providing a more refreshed and rejuvenated appearance.

Nasolabial Folds

The folds which extend from the nose downwards around the mouth are called the nasolabial or melolabial folds. The creases around the edge of the lips and mouth are often referred to as marionette lines. The nasolabial folds are most often best treated last when treating the cheek complex. Overfilling of this area may produce a simian or monkey-like appearance. This may be a result of effacing the natural fold, which exists between the cheek and the lip. It may also be a result of having a prominent mouth and lower face with a flattened midface and cheek. This causes the face to have a heavy and drawn appearance.

The nasolabial folds should always be filled judiciously. One must also be careful not to inject the wrong material in this area or try to eradicate the natural fold with a procedure. When things go wrong in the nasolabial fold, they are extremely difficult to fix. Although opinions vary, Dr. Talei believes that permanent fillers such as silicone and silicone polymers should always be avoided. Injections of Radiesse or fat should only be performed in specific instances. It is always safest to treat this area conservatively with hyaluronic acid fillers or with cheek lifting surgery.

Below is an example of what simple upper cheek filling can achieve. Please note that the nasolabial folds have improved without actually being filled.

Contact Us Today!

Patient Video Testimonials

Join Our Email List

 

Care Credit
Alphaeon

24/36/48 month payment schedules

5.0

Based on 15 reviews

Peter S.
Literally one of the best facial plastic surgeons in the world. You will NOT regret being treated by this highly skilled professional. He's a mensch, too.
darci t.
I am absolutely ecstatic about my results!!!!!! I am a model and actress as well as an occasional TV host. I have been performing upkeep for my face and lips in Beverly Hills for years and I was convinced I was with the most talented and famous surgeons and dermatologists, but boy was I wrong! One visit with Dr. Talei and my life has changed. He clearly and quickly explained the slow imbalance which had happened in my lips and face over time and we planned for a lip lift procedure. I did this under local anesthesia with no pain at all! He's the ONLY surgeon who can do this with NO scarring. All other doctors I reviewed had scars on at least half their patients. Now all of my friends in plastic surgery and fashion compliment me much more and they have no idea what I had done. This man is AMAZING!!!!
Jennette C.
I went to Dr Talei for under eye filler using Restylane. Dr Talei was very thorough with each step in the process and made me feel very comfortable. The procedure was quick and painless! My under eyes have always been an insecurity for me and when I looked in the mirror after he was done I was beyond impressed with his work. I felt more confident and beautiful. I was able to leave his office and go right back to work! I highly recommend Dr Talei. He's friendly, has a lovely staff and truly cares about making his patients happy.
Lauren F.
My experience with Dr. Ben Talei was very positive. He answered all my questions prior to the procedure and made me feel very comfortable. Before meeting him, I had heard all the rave about his work, and I am so glad I went through with the visit. I was very insecure with my "eleven" deep wrinkles in between my eyebrows, he was very fast and clean with this procedure and I couldn't be more grateful for this minor adjustment that has brought me a major confidence boost. Thank you Dr. Talei
Bryan B.
Ben is a skilled professional. I would have no hesitation recommending Ben and his team to my friends or family. He is passionate about his work and this passion shows in the exceptionally high standard of care that he provides to his patients (both in his practice and in his humanitarian work). You’re in good hands with Ben and his staff!
Danielle B.
I used to see Dr Ben in New York and now I fly to LA to see him. I have no room for error and he is absolutely the only plastic surgeon I trust. Everyone else seems to be out for money. Every time I'm in his waiting room all I hear is praises and how he's the greatest. I completely agree. He's the most talented surgeon I've ever seen. It's worth the flight
Kelly H.
I have worked in health care in Los Angeles for over 20 years and have always hesitated in referring plastic surgeons to my clients. Dr. Ben Talei, MD is in a class of his own. I am so pleased to be able to refer to Dr. Talei without hesitation, and consistently receive outstanding feedback on him. Dr. Talei brings a wealth of experience and exceptional skill, along with cutting edge techniques to his practice. Not only does Dr. Talei excel in every facet of care, but he has also cultivated a warm, kind and patient bedside manner that is second to none. Dr. Talei's office is a dynamic patient focused environment, I urge you to visit him!
Holly K.
Ben is amazing! Was my first time getting botox and it was virtually painless. Marks were gone in minutes. Thanks Ben you're the best!!!