Fillers and the Nasolabial Folds

Thanks to our current media’s obsession with celebrity and youth, everyone  these days seems to be focused on how their face is aging, particularly that area known as the nasolabial folds which spans from the bottom of the nose to the outside edge of the mouth. A lot of patients come for fillers in the nasolabial folds, everyone is focused on this area, and though fillers can work wonders, it is always important when treating the mid-face that a surgeon look at the face in total. This means addressing any loss of volume in the cheek which may be the actual source of the sagging skin around the nose and mouth.

The Cheek & The Nasolabial Folds

The cheek and the nasolabial folds are like Fred Astaire and Ginger Rogers — one can’t work without the other. Whenever a patient comes in complaining about his or her “parentheses,” I will first look at that patient’s cheek. Why? Because the deepening of the nasolabial folds are often a direct result of a loss of support in the cheek area. Basically, as the cheek loses volume with age, it deflates which causes the skin in the mid-face to sag. In order to reverse these early signs of aging, I will use filler to plump up the hollow between the nose and the mouth, but he will also use it to plump up the cheekbone. Addressing both areas together delivers the kind of youthful, natural results that patients love.

Juvéderm Voluma

One of the most important things with fillers is knowing which one works best for each area of the face. Juvéderm Voluma is a hyaluronic acid-based filler that is ideal for addressing mid-face volume loss 4-6 injections per cheekbone, to rebuild the soft tissue that’s been lost. When you inject on the bone, there is less diffusion so you’re able to build the entire area outward, getting more definition, and a better shape. Also, when you pick up the cheekbone, it picks up the nasolabial fold. A patient may still need a bit of Juvéderm Ultra Plus in the fold itself, but it requires considerably less product once you correct the primary problem in the cheek.

Patient satisfaction has been extraordinary. The procedure takes less than 15 minutes and since there are no blood vessels on the bone, there may be almost no bruising.