Nasolabial folds run from the corner of the nose down towards the corner of the mouth often becoming more pronounced with ageing as laughing and smiling over a person’s lifetime causes these to become deeper often adding years to a person’s appearance. It is however a natural line, and care must be taken not to obliterate this (as it looks weird and not aesthetically-pleasing).
The folds can become amplified as the volume in the cheeks diminishes and they begin to sag downwards with loss of collagen and tissue laxity.
None or numbing injection
To treat this ageing appearance, a holistic approach to cheek and midface augmentation can often help to soften the nasolabial folds without having to target these directly. Specific types of filler are chosen for the best integration into the appropriate area and ensure long-lasting natural effects that are easy to maintain over years. Also PDO threads can be used to help reduce the appearance without injecting directly into the fold.
If other approaches to treat the root cause aren’t enough, the nasolabial fold can be directly injected with dermal filler. The aim is to smooth rather than eliminate these and Dr Owen always makes sure that the result appears natural, avoiding artificial overfilling.
None or numbing injection
Because we make a bespoke treatment plan with every patient, and every person will need different amounts, we charge per volume but make sure that we are as economical as possible with optimal technique and in some cases blending fillers to the right consistency.
Anywhere between 0.5-2 ml are needed on each side; younger patients who already have plump tissues without volume loss will need relatively little, whereas patients who have more advanced changes need significantly more. Dr Thomas will discuss the individualised treatment plan with every patient; for information regarding the cost please see our price list.
On average we would expect dermal filler to typically last 9-12 months but this can vary significantly. We only use the best and most expensive products such as Juvederm, Restylane, Belotero and Teoxane RHA family.
Recovery time varies for each patient and each type of filler injected. You can resume most activities right away, but it is generally recommended that you avoid intense physical activity for the first 24-48 hours to minimise swelling and bruising.
Although many clinics advise against drinking alcohol for 24 hours, there is no evidence this is beneficial and can be restrictive – we do however suggest moderate amounts are sensible.
The treatment is with a microcannula to reduce complications and entry points and is not usually painful. Dr Thomas takes great care to minimise discomfort further with cooling, vibration, meticulous technique, and uses fillers that are pre-mixed with local anaesthetic (therefore minimising the discomfort from subsequent injections).
As with any medical treatment, there can be side effects although these are usually mild given that hyaluronic acid is a natural substance. Transient swelling is common sometimes with occasional redness and bruising which settle after a couple of days. Dr Thomas will discuss all possible side effects at the time of the assessment.
Although a large blood vessel passes close to the nasolabial fold, serious complications are minimised with careful technique, expert knowledge of anatomy and blunt-tipped microcannula. Fortunately, hyaluronic acid fillers also have a substance which can break up the dermal filler and reverse the effects of blood vessel blockages.
Dr Owen Thomas is a highly trained aesthetic physician with a level 7 qualification in injectable treatments.
He uses his passion and skill combined with a professional, ethical and safe approach, to enable his patients to feel rejuvenated, confident and ready for everything life has to offer.
Facial volume loss can cause a young, full face to become older and thin. Chubby cheeks seen in young people are not always due to weight gain, but rather represent a firm, smooth face that has not yet experienced any problems in soft-tissue health.
Deep nose to mouth lines (marionette lines) are due primarily to a loss of volume around the mouth in the bone and soft tissue, with ligament laxity.
Lipstick lines, otherwise known as smokers’ lines, appear as small vertical creases and wrinkles that run along the lips of older people, usually perpendicular to the border of the lip.
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