Nasolabial folds

Nasolabial folds are the wrinkles that develop on either side of the mouth, going from the wings of the nose to the corners of the mouth.

These wrinkles can have several causes, depending on the face’s morphology:

Constitutional: i.e. present from a very young age. In this case, they are not wrinkles but rather indents connected with the morphology and expressions. We cannot expect the nasolabial folds to disappear completely in this case, but we can reduce them when the face is static.
Acquired: i.e. they have gradually appeared over time and are often connected with skin sagging and a loss of support due to a loss of volume in the cheekbones and the tear trough, which also needs treating. Weight loss is often a factor that makes nasolabial folds worse.

In both cases, the go-to treatment in aesthetic medicine is injecting filler products such as hyaluronic acid or calcium hydroxyapatite (Radiesse).

For “constitutional” nasolabial folds, we inject small quantities so as not to deform the facial volumes and, above all, avoid widening the lower face with these injections. One to two millilitres of hyaluronic acid are usually enough, which costs between 350 and 700 euros on average and should be carried out every 6 months to a year, according to the patient’s metabolism.

For “acquired” nasolabial folds, the face as a whole must be analysed in order to identify the patient’s requirements. These wrinkles need filling, but this will just be a “finishing touch”.

The prerequisite “foundations” in the cheekbone and tear trough are usually essential and allow us to give a “lifting” effect to the middle third of the face, particularly the nasolabial folds.

This aesthetic medicine approach requires larger quantities of filler products (usually 3 to 4 millilitres spread over the three areas, which costs an average of 1,100 to 1,450 euros). But a medical examination in the practice is needed in order to determine the quantities required in each case. As for any aesthetic medicine procedure, we will provide a free quote.

Please note that no face can ever be perfectly symmetrical in reality because the bone structure that supports the skin is not symmetrical. This is why we take “before” photos.

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FAQ — Your questions about nasolabial folds

Can nasolabial folds disappear completely with treatment?
It depends on their origin. « Constitutional » folds (present from a young age) are not wrinkles but hollows linked to facial morphology: they cannot be erased completely, only softened. For « acquired » folds, caused by volume loss in the cheekbones and tear troughs, treating these areas as a whole gives a more pronounced lifting effect.

How long do the effects of the treatment last?
For constitutional folds, maintenance is generally needed every 6 months to 1 year, depending on each person’s metabolism.

Why is it sometimes necessary to treat the cheekbones and tear troughs at the same time?
For « acquired » folds, the foundations of the mid-face (cheekbones and tear troughs) are often essential to create a « lift » effect before « finishing » the treatment on the nasolabial folds themselves.

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