Nasolabial Fold At A Glance
- Best ResultsImmediate
- Treatment RecoveryNil
- Procedure Time10 minutes
- Skin SpecialistDermatologist, Nurse Injector
- Duration of Results12 months to 3+ years
- AnaestheticNumbing in hydration treatment
- Back to WorkImmediately
- Cost$$
Nasolabial Fold – Cheek lines
The nasolabial folds are one of the most frequently treated areas in cosmetic dermatology. Careful and accurate treatments can support & diminish the nasolabial fold without adding more volume-weight to the mount area. This gives a better outcome compared to filling in laugh lines. My best advice is to look beyond the fold or line at the big picture. Filling lines is easy, however, in many cases, this may not be visually pleasing.
FactsFacts on Nasolabial Fold
- Nasolabial or laugh lines are one of the most popular treatments
- These lines are also one of the most badly filled areas
- The nasolabial fold is a naturally occurring line
- Too much treatment will result in a heavy look
- The aim of treatment is to ‘blunt’ & not obliterate this natural line
- For mature patients it is not wise to add volume & weight below the cheek bone
What is Nasolabial Fold?
As we age there is downward descent of the cheeks & the mouth area. By treating down low we exaggerate the heaviness of ageing. In most cases the aesthetic appeal of just treating in lines may not be the best option as this gives what I call the Homer Simpson look (heavy around the mouth). Strategic treatment above the deep nasolabial folds creates much needed support that can lessen the depth of the lines, & at the same time lift the cheeks.
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What are the risks of hydrating treatments?
Hydration treatments carry risks, much like any other procedure. In the content of the nasolabial fold area, the most common risks are overcorrection with superficial placement of filler. Other rare side effects include lumps & bumps (acute or delayed). Arterial injection with skin necrosis is a very rare side effect. 
Are there any other ways to address the nasolabial fold, apart from hydration treatment?
Yes, there are surgical & non-surgical options. Non-surgical options include; Thermage, RF with Pelleve or Tempsure, HIFU with Ultraformer, & thread lifts. The success of non-surgical options is dependent on the weight of your cheek (as cheek lifting decreases the depth of the fold). Additionally, the success of non-surgical treatments is also dependent on your immune system’s ability to produce & contract collagen.
Hydration treatments give a predictable reduction in the depth of nasolabial folds.
Surgical options include a short scar mini-S facelift, or a deep plane facelift. Surgical & non-surgical options address skin tone, not volume. Fat transfer can be considered in some patients if large volumes are required.
Can lasers improve the nasolabial folds?
Lasers can indirectly improve the folds by tissue contraction & lifting. This is a secondary & not a primary effect. The aim of laser resurfacing is to improve the skin texture-quality, namely sun damage (elastosis), static wrinkles & pigmentation. In some cases, a lifting effect is seen secondary to collagen formation & contraction.
Does microneedling help the nasolabial fold?
Microneedling is a minimally-invasive treatment that creates microchannels deep in the dermis of the skin to stimulate the natural production of collagen, much like lasers. This treatment can soften wrinkles & fine lines. The lifting capacity of microneedling is less than lasers & other devices, hence it has very limited impact on the nasolabial fold.
Can threads address the nasolabial fold?
Threads including suspension & APTOS threads can have an impact on the NL fold in the correct candidate. The ideal profile is mild to moderate laxity, with minimal background sun damage and a medium to thick dermis.
If one is risk adverse to hydrating treatments, threads, in combination with energy devices such as RF – HIFU can give modest results in some.
Can diet affect laugh lines & nasolabial folds?
Unfortunately, with weight loss, the appearance of the nasolabial folds usually worsens as fat acts as structural support for overlying skin. Soft tissue hydrating treatments & fat grafting can soften these lines.
How do I make a booking for hydrating treatments?
Contact Cutis Clinic if you’re in Brisbane, or The Melasma Clinic in Sydney, to arrange an assessment with either myself or my clinical team. We do not use any brands from Asia, nor do we use any semi-permanent / permanent hydrating treatments such as Bellafill.
Davin’s take on treating nasolabial folds
Nasolabial (NL) folds were the very first location we used to fill 20 years ago! Now, less than 2% of my treatment cases are specifically directed at reducing this line. It is important to note that NL lines are natural. Most often, blunting or decreasing this fold does not add to the overall aesthetics.
Taken in isolation, treating the fold itself can give you a great before & after photo, however it also adds volume & weight to the muzzle area- AKA the Marge Simpson look (in reality Homer has more volume in this area).
