The nasolabial fold is the crease that goes from the base of the nose to the sides of the mouth. It is created by loss of bone in the upper jaw bone (maxilla) and by sagging of the soft tissues in the midface & cheek. It is rare that this area is treated in isolation, but rather as part of holistically treating the middle third of the face. Often by correcting volume loss and sagging in the midface and jawline, the nasolabial fold is softened. This can be further improved by strategic placement of filler whilst still allowing for natural facial expression.
What we can improve
- Reduce the depth of the nasolabial fold
This gives a smoother transition from the cheek to the area around the mouth which is more aesthetically pleasing.
- Treatment of the piriform fossa
Often as part of this procedure the area at the base of the nose (known as the piriform fossa) is treated.
- Adding support to the upper lip
Injecting into the maxillary retaining ligament (deep to the nasolabial fold) creates lift and support to the upper lip. Overall this creates a more natural outcome than just filling the nasolabial fold itself.
FREQUENTLY ASKED QUESTIONS
The type of filler will depend on the technique used which is differ between patients. If treating the nasolabial fold directly a softer filler will be used to allow for natural facial expression. Alternatively if treating deeper to give more structure a firmer type of filler will be used.
Topical anaesthetic can be used to make this procedure more comfortable.
There are multiple techniques that can be used to improve this area. Generally this area would be addressed after the cheeks & midface had been treated. This allows for less filler to be used and will give the overall most natural outcome.
As with any medical procedure there are some risks to consider. Most patients will have some degree of swelling associated with this treatment, but this will settle over the following few days. There may be some discomfort, bleeding or bruising. There have been cases in Australia of vascular injury whereby filler is inadvertently injected into a blood vessel. It is very rare but if it occurred could lead to necrosis of the skin or visual loss. A thorough knowledge of facial anatomy and safe injecting techniques can greatly minimise this risk, however if any signs were to occur the filler would need to be dissolved immediately.
There is minimal (if any) recovery for this procedure. As the filler is placed deep on bone, it would be rare that there would be bruising or swelling associated with the procedure.
No makeup or lipstick for 4 hours. No exercise for the next 24 hours. Avoiding alcohol that evening will minimise any bruising. Applying ice will also help with swelling and bruising. No swimming for one week.