Nasolabial Folds

For successful treatment of Nasolabial Fold (NLF), it is important to identify its anatomic variations. In addition to varying degrees of NLF severity, there are 2 distinct anatomic configurations: nasolabial creases and nasolabial folds. Nasolabial creases can be a result of repetitive muscle movement. These creases represent skin defects rather than contour deformities, appear to be epidermal and dermal, not created by overhanging skin. This type of Nasolabial Fold is more common in younger people and in people with thin skin. The second type is an actual fold of skin in the nasolabial area which is a result of the downward migration of the malar cheek pads.

Nasolabial creases require a thinner dermal filler, placed more superficially, i.e administered in the upper or mid dermis, which gives excellent results.

True nasolabial folds are not skin defects. They represent loss of support and a loss of volume. These folds are best treated using either deep dermal or subdermal injectables. Another method is to augment the cheek itself, which creates a lifting effect in the nasolabial fold.

There are multiple injectable materials for use in treating NLFs. They are divided into 4 groups: permanent, for example Aquamid; semi-permanent, such as Radiesse; dermal fillers Restylane, Juvederm Ultra 3, Teosyal RHA3; and subdermal fillers such as Restylane SubQ, JBP Nanonlink Fille HA SubQ, Juvederm Volift. Additionally, these materials can also be subdivided into true space filling dermal fillers and bioactivators, such as Sculptra, which corrects not only by providing temporary volume, but also by stimulating collagen synthesis which leads to long-term increasing correction. Below is our choice: