You can treat a nasolabial fold with an injection in the pyriform fossa at the ala base to project it forward and reduce a shadow, but you cannot do that same injection if the nasolabial fold runs all the way down to the oral commissures. Hence this is where a cannula is preferable.
Thankfully, treatments like Botox exist to turn back the clock and improve the appearance of nasolabial folds. So can Botox help ease these folds back into their place? Yes, it can. By combining it with a filler, an expert doctor can soften the muscles at the corners of the mouth and fill in the folds.
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 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.
Nasolabial lines need five to 10 units.
On the day of the procedure, your medical provider injects 3 to 6 units of Botox in each corner of your lower lip. The targeted muscle is called Depressor Anguli Oris, and it's responsible for pulling the corners of your mouth downward.
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.
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.
Regardless of the product, the most common side effects of HA fillers are temporary swelling and mild discomfort for a few days. As with any injectable, bruising is possible (though relatively rare in this part of the face).
The amount of filler needed to correct nasolabial folds depends on the state of the patient's skin and the type of dermal filler used. 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.
BOTOX Units Per Treatment Area
Frown or Glabellar Lines (10-25 units) Crow's Feet (5-15 per side) Bunny or Nasals Lines (5-10 units) Smile Lift or Corners of the Mouth (3-6 units)
It is because your cheek muscles are an active participant in helping you smile. So if Botox gets injected too low on the upper part of the cheek, the Botox will weaken the muscles that help lift your mouth muscles and stop you from having a full smile.
One of the best nonsurgical treatments for these fine lines involves the use of neuromodulators, or botulinum toxins. Botulinum toxins, also known as Botox®, Xeomin® and Dysport®, can reduce the appearance of laugh lines and rejuvenate your face.
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.
How long does Nasolabial Filler take to settle? The final result is seen after 2- 3 weeks.
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.
You should avoid injecting botulinum toxin into the frontalis muscle, which is the muscle that raises your eyebrows and arches your forehead. You should also try to not inject botox into several other facial muscles, such as those that allow you to smile or chew.
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.
Nasolabial Folds are the lines that run from the corner of the nose to the corner of the mouth, and marionette lines are the lines that run from the corners of the mouth down to the chin.
When injected into muscles, Botox blocks the release of acetylcholine and inhibits muscle contraction. Limiting this movement not only relaxes facial wrinkles and lines, but it can also lift the corners of the mouth.
Smile lines can become static and more defined as we age, and people tend to dislike these lines. Filler is the best option because we want to fill the lines and wrinkles with volume to restore a natural look in the area.