Generally, we use between 0.5ml and 1ml of dermal filler per side for this area (minimum 1ml total), however it's good to be aware that this can vary according to your unique features, as well as the effect you wish to achieve. Dermal filler for nasolabial folds is a treatment that requires precision and experience.
Depending on deepness of nasolabial folds you may require up to two ml on the session. Some clients who appear to have a heavy nasolabial fold, may not be suitable for treatment.
Nasolabial folds
If it's something that bothers you, dermal filler can be used to treat the area, and, typically, a practitioner will use anywhere from 0.5ml to 2ml filler per side, depending on the individual and how deep the lines are.
Most nasolabial folds will typically require two syringes to fully correct. One syringe of Juvederm is sometimes sufficient for mild nasolabial folds. For lip augmentation, one syringe will sculpt and enhance the lips.
Most fillers come in a syringe with 1mL of product. That is approximately 1/5th of a teaspoon. A small amount of product can go a long way, but many times optimal results require more than one syringe to obtain.
Generally speaking, 0.5 ml of lip filler will provide subtle but noticeable results to the lips, with an average increase in volume of around 5-10%. This amount of product also tends to be ideal for those looking for natural-looking results without too much fullness or volume added to their lips.
Cheek, Chin and Jawline Enhancement
Chin filler does not require a huge amount of filler, typically between 1-2ml depending on the effect you are looking for. Meanwhile, cheek and jawline filler can require a significant amount of filler, with some patients opting for anywhere 3-5ml in these areas.
Nasolabial fold: Angular branch of facial artery/lateral nasal artery. In the lower part of nasolabial fold it is important to stay superficial while injecting and in upper 1/3 of the fold deep or periosteal injections are safest.
Treating lines around the mouth such as laugh lines or marionette lines typically requires one to two syringes on each side for full correction. Replacing lost volume in the cheeks often requires the most amount of filler, given the large area. Our patients typically need two to three syringes for each cheek.
While massage can sometimes improve mild symptoms such as moderate lumpiness or slight asymmetry, don't perform massage on your fillers unless instructed to do so by your plastic surgeon or injector.
It's a common misconception that dermal filler is going to dramatically change your appearance with the very first treatment. In actual fact, 1ml of dermal filler is just enough to create a very subtle result that clients can then build upon over time (if that's your goal).
The good news is that you can still smile after getting a nasolabial fold filler! The filler is injected into the folds, not the muscles that control your facial expressions, so it should not affect your ability to smile.
Dermal Filler
Perhaps the most popular treatment for nasolabial fold concerns, hyaluronic acid (HA)-based dermal filler, like Juvéderm®, Restylane®, and Belotero®, can be artfully injected to lift and smooth the creases without simply plumping up the lines themselves.
Similar to any cosmetic treatments, there can be side effects or complications associated with fillers. If you experience bruising, swelling, lumps, and bumps, this is often the normal part of the healing process. These side effects should resolve within 14 days so the true results of fillers can appear.
Diaz says hyaluronic acid-based fillers, like Juvederm, can last anywhere from six months to a whole year. “Consistent treatments will give you optimal results and you may need less filler over time,” he says.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
In essence for many of us (I am no exception) 1ml of filler is simply not enough to make much of a difference unless there is just one small area that concerns us. 3ml, on the other hand, is usually enough to really make a difference and actually rejuvenate 1-3 areas of the face.
The standard way to inject dermal filler in the nasolabial folds is to use tiny 30 gauge needles. This injecting technique involves using a short, sharp needle to inject multiple spots along the nasolabial folds using boluses, otherwise known as big blobs of filler.
Nasolabial creases (dermal and epidermal defects) require a dermal filler injected into the upper or mid dermis for best results. Attempting to fill these creases with a deep dermal or subdermal injection may improve their contour but will not fill in the superficial dermal defect.
Treating with 1ml at a time is certainly appropriate for some areas, such as volumising lips or having smaller tweakments into other areas of the face. Sometimes, however, more than 1ml may be required – in the cheeks, for example – as 1ml may not make a discernible difference.
Depending on the amount of lip fullness desired by the patient, 1 ml of filler or less is sufficient. In lip augmentation, 0.5-2 ml of filler injection is usually applied for the first time.
1ml is a relatively small volume of filler, and it will typically produce results that last for six months.