Nasolabial Fold Filler
The nasolabial lines, or nose to mouth lines, are often one of the first things that deepen as we age, although some individuals may find that they have naturally deep nasolabial lines from a young age that are likely linked more to genetics than ageing. As the cheeks lose volume and the fat pads in the midface descend the nasolabial line deepens as it has this weight pressing down on it from above.
This is compounded by overall volume loss within the nasolabial fold itself. Luckily, dermal fillers are very good at replacing the volume that has been lost, lifting this skin from underneath to lessen the appearance of the fold and rejuvenate the midface.
Who can get nasolabial line filler?
You can get nasolabial line filler if you are:
Not pregnant or breastfeeding
We would also like to be aware if you are taking any anticoagulant, or antiplatelet, medication, although this does not prevent you from having treatment. You will also have to make us aware if you have an allergy to local anaesthetic, as the majority of filler contains lidocaine and we will have to choose a product that does not contain this if you do in fact have an allergy.
What should I expect if I come for a filler treatment?
When you arrive at Fillers & Frowns you will be greeted, invited to take a seat and you will be asked to complete a detailed medical questionnaire if you have not completed this electronically prior to your arrival. You will then be called in at your appointment time, at which point you will have an in-depth consultation and examination process, by which we will get to understand what you are hoping to achieve through the nasolabial line filler procedure. Numbing cream will be applied to make the procedure more comfortable.
Facial mapping will be performed during the examination, which will look to identify any other areas of the face that may benefit from filler, with a common one being the cheeks. Once the numbing cream has had time to work (15-20 minutes), the injections will be carefully placed to lift the nasolabial fold, followed by a thorough massage to ensure that the filler has been placed evenly and it is smooth before you leave.
The overall appointment will take around 30-45 minutes, with plenty of time being allocated for questions you may have regarding the treatment. After care advice will be provided and you will also receive an email with after care advice following your visit to the clinic.
Complications and side effects
The most common side effect of nasolabial line filler treatment is mild bruising and swelling. Arnica cream will be provided following the treatment, as part of your post-treatment pack, in order to increase the speed at which any bruising resolves (typically 5-7 days, up to 2 weeks for deeper haematomoas). The swelling occurs because the filler itself is made from hyaluronic acid and this attracts water, so a degree of swelling is unavoidable for around 1 week after treatment. This is generally not noticeable to the eye, but will often feel lumpy in the days post-treatment. However, this lumpiness then settles once the swelling reduces.
As with all procedures there is a small chance of infection, which is reduced even further due to our extensive preparation of skin using chlorhexidine. If infections do develop, despite best efforts to cleanse the skin prior to treatment, Fillers & Frowns is doctor-led and so a prescription for antibiotics will quickly be issued.
As with any filler procedure there is a small risk of a vascular occlusion, whereby a vessel that supplies blood to the skin of the nasolabial fold and tip of the nose is blocked. In this rare event we are prepared with a product called Hyalase, which is used to dissolve the filler and restore the blood supply to the skin. It is for these reasons that our recommendations are to ensure that you are treated by experienced healthcare professionals within the industry when getting aesthetic treatments performed. All of our treatments are performed by a GMC-registered doctor who has extensive training and experience in delivering these treatments in the safest possible manner.
How long does it last?
Nasolabial line filler will usually last for around 9 months.
Does it hurt?
Having your nasolabial lines treated with dermal filler should not be particularly painful. However, here at Fillers & Frowns we specialise in pain reduction during aesthetic treatments in order to make your treatment as comfortable as possible.
What does it combine well with?
Filler placed in the cheek area, for those with evident volume loss in the cheek, combines perfectly with nasolabial line filler. Usually, deepened nasolabial lines are partly due to loss of cheek volume and downward migration of the associated fat pads. Therefore, if the cheeks are filled we can get a degree of lift in the nasolabial fold, as the cheeks are now pulling that weight upwards.
The nasolabial folds will likely still need treatment, but we will often achieve a much better result by treating the two areas in combination.
Yes, nasolabial filler can be placed in larger volumes than in some other areas in the face. Here at Fillers & Frowns we will not perform more than 2ml of nasolabial filler at a time, with us recommending that you return for a review after two weeks to assess the efficacy of the treatment and formulate a further treatment plan.
Your nasolabial filler will be massaged prior to you leaving the clinic to ensure that any lumps and bumps from the treatment are gone. The filler remains quite soft for the initial 48-72 hours and can be moved slightly if firm pressure is applied, therefore we do not recommend massaging the area yourself afterwards. Any lumps that appear following the treatment will likely be due to swelling and these will usually go within 5-7 days once the swelling has reduced.