Botox works by relaxing the muscles around the mouth, but it cannot soften the deep folds in the nasolabial area. In this case, a volume-adding injectable like dermal fillers is often the better choice because it can fill the deep wrinkles and smoothen the skin.
Botox injections can reduce the appearance of nasolabial folds for a few months. Dermal fillers: Dermal filler is an injection of a substance to fill creases in your skin. The substance plumps the area, restoring volume and fullness. The effects can last six months to a year.
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.
For qualified candidates, we have found JUVÉDERM® to be the top filler for nasolabial fold reduction at our med spa. Composed of naturally occurring hyaluronic acid (HA), JUVÉDERM® works to smooth the appearance of moderate to deep laugh lines through a subtle volumizing effect.
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. The change will be noticeable but subtle.
The most severe and early-occurring complication is tissue necrosis due to embolization of specific vessel and obstruction of the vessel by the filler material which can cause ischemia and tissue necrosis. There are few reports of nasal alar area necrosis after HA injection in nasolabial folds.
Juvederm Vollure is a hyaluronic acid facial filler, specifically designed for the nasolabial folds and for the parenthesis around the mouth. This is the longest lasting dermal filler on the market for the mid-face, lasting up to 18 months.
The naso-labial folds from the corner of the nose to mouth are often treated with 0.5ml per side, so often 1ml will be required. The naso-labial folds can also be reduced by placing dermal filler in the cheek area to lift the cheek and reduce the fold.
Yes, fillers placed in the nasolabial folds and piriform can certainly have an subtle effect on your smile, however, this tends to be a positive effect. The filler adds perioral support and can help evert the lip.
Results from nasolabial fold filler can last from 6-12 months. Factors such as your lifestyle and metabolism can affect the lifespan of your filler. Ensure you wear sun protection, eat a healthy diet and take care of your skin to make sure your filler lasts as long as possible.
In general, to treat the nasolabial folds or “marionette lines,” around the mouth, we'll use between one to two syringes of filler. We recommend this same dosage to achieve the perfect pout.
Exercises for nasolabial folds include: Puckering the lips in an upward motion, as if kissing the ceiling. Hold for 15 seconds and repeat 4–5 times. Puckering the lips into a pouting motion, then pulling the corners of the mouth out.
Believe it or not, when the fold is caused by a tight muscle, the answer is BOTOX. Our Bay Area patients with a snarl or resting “not-so-nice” face can get two quick, easy BOTOX injections (one on each side of the nose) to relax this muscle and soften their snarl and their nasolabial folds.
Hyaluronic acid-based products like Juvéderm and Restylane typically require one or two syringes of the product injected during one session. The results last up to 18 months. Radiesse (calcium hydroxylapatite) requires two or three syringes injected during one session, and the results can last up to 24 months.
Restylane is considered particularly effective for lines – known as nasolabial folds – that can develop between the nose and the mouth, which can often be stubborn to treat. The average cost of Restylane filler for each syringe is around $550.
Dermal Fillers for Nasolabial Folds
Filler injections will make the area look smoother and younger, with less of a demarcation between the cheeks and the lower face. Many patients are concerned about the appearance of their nasolabial folds, even from a very early age, and this concern intensifies over time.
Dermal fillers: Dermal fillers are used as the first-line treatment for nasolabial folds. Dermal fillers help lift the skin and add volume to the area. The most commonly used fillers are calcium hydroxylapatite and hyaluronic acid. Both have been shown to promote collagen growth and plump the skin.
Answer: Botox injection and nasolabial folds
However, if filler was misplaced into the lateral aspect of the nasolabial fold or the crow's feet were injected with Botox to low on the face, it is possible to see worsening of the nasolabial fold. Your lips appear somewhat full for 2 weeks post procedure.
The most common types of fillers for nasolabial folds contain hyaluronic acid. This clear substance is naturally produced in the skin and helps with firmness and hydration. The following hyaluronic acid fillers are approved for the treatment of nasolabial folds: Bellafill.
If this is your preferred sleeping position, try positioning your head on the pillow so that the lower half of your face, (below the nose), doesn't touch the pillow. This helps to prevent the nasolabial fold, or those lines that run from the nostril to the outer corners of the mouth, from developing.
25-35 years old:
Fine lines around the eyes, crow's feet, expression lines, and nasolabial folds start to appear as age increases. Skin begins to sag.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an inexperienced or underqualified injector.