greater
Iron
- Joined
- Jun 19, 2025
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Been browsing the forum recently and reading mainly @Orc threads on minimally invasive at-home procedures that help add facial volume through PDO/PCL threads and reduce volume through Aqualyx injections. His threads have been the perfect guide for someone like me who suffers from brutal midface recession which makes me look fat/bloated in my middle third despite being decently lean.
What Orc has done correctly is move away from the typical recommendation of performing a midface lift and instead identifies the three key areas to address fat pad migration associated with aging. These factors include:
As I've mentioned before, Orc's protocol treats the first two factors by promoting collagen and lifting in the under-eye area with smooth threads and dissolving fat in the nasolabial and medial fat pad areas. From what I read, his final area of concern was addressing the pyriform fossa because arguably this is one of the most important areas to address. By creating more support near the pyriform fossa you not only fill out midface recession, but also support and lift the sagging fat upward and outward from the mouth— effectively providing more undereye and zygo support.
So far I've mainly been inserting PDO screw and mono threads throughout my face to help even out the recession and I was looking into securing some vials of Aqualyx here in the US (if anyone has any good sources let me know), until I started looking more into how critical pyriform fossa-filling procedures (fat grafts, paranasal implant, etc.) are for achieving overall harmony by volumizing the midface.
My question is, should I hold off from performing Aqualyx injections until I undergo some sort of procedure to fill out the pyriform fossa to see if that improves nasolabial sagging instead of dissolving facial fat that may be important as the face ages. Or should I perform Aqualyx injections first since it might be impossible to dissolve fat in these areas where an implant is present, or in the case of fat grafts, dissolving the fat that you just paid your doctor thousands of dollars to graft.
TLDR: I have decently strong zygos, could use more infraorbital support, leanness around the ramus and submental areas, but most importantly lack midface support near the pyriform fossa— should I address pyriform fossa volume or medial and nasolabial cheek fat first?
What do you think is the appropriate order to address these aforementioned factors? Let me know if there are any other main areas to address but if your nasolabial folds are noticeably low to the point where your nasolabial fat is at the end of your nostril, I'd recommend treating (in order):
What Orc has done correctly is move away from the typical recommendation of performing a midface lift and instead identifies the three key areas to address fat pad migration associated with aging. These factors include:
- Infraorbital fat recession
- Nasolabial fat accumulation
- Recession near the pyriform fossa
As I've mentioned before, Orc's protocol treats the first two factors by promoting collagen and lifting in the under-eye area with smooth threads and dissolving fat in the nasolabial and medial fat pad areas. From what I read, his final area of concern was addressing the pyriform fossa because arguably this is one of the most important areas to address. By creating more support near the pyriform fossa you not only fill out midface recession, but also support and lift the sagging fat upward and outward from the mouth— effectively providing more undereye and zygo support.
So far I've mainly been inserting PDO screw and mono threads throughout my face to help even out the recession and I was looking into securing some vials of Aqualyx here in the US (if anyone has any good sources let me know), until I started looking more into how critical pyriform fossa-filling procedures (fat grafts, paranasal implant, etc.) are for achieving overall harmony by volumizing the midface.
My question is, should I hold off from performing Aqualyx injections until I undergo some sort of procedure to fill out the pyriform fossa to see if that improves nasolabial sagging instead of dissolving facial fat that may be important as the face ages. Or should I perform Aqualyx injections first since it might be impossible to dissolve fat in these areas where an implant is present, or in the case of fat grafts, dissolving the fat that you just paid your doctor thousands of dollars to graft.
TLDR: I have decently strong zygos, could use more infraorbital support, leanness around the ramus and submental areas, but most importantly lack midface support near the pyriform fossa— should I address pyriform fossa volume or medial and nasolabial cheek fat first?
What do you think is the appropriate order to address these aforementioned factors? Let me know if there are any other main areas to address but if your nasolabial folds are noticeably low to the point where your nasolabial fat is at the end of your nostril, I'd recommend treating (in order):
- Recession near the pyriform fossa
- Infraorbital fat recession
- Nasolabial fat accumulation
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