What is nasolabial fold filler? Who is it suitable for? Which brands are good? What should you know before getting injections? Frequently asked questions.

Review of filler injections for nasolabial folds.

---

What are fillers for nasolabial folds?

Nasolabial fold fillers are one of the most popular non-surgical cosmetic procedures today. They involve injecting hyaluronic acid (HA) into deep nasolabial folds to fill them in, resulting in smoother, more youthful-looking skin. This substance is safe and approved for facial contouring.

• Deep nasolabial folds are often caused by age-related skin deterioration, loss of subcutaneous fat, or rapid weight loss, making the face appear older than its actual age. Filler injections can help correct this, with results lasting approximately 6-12 months, depending on the type of filler and post-treatment care.
• Those interested in getting filler for nasolabial folds should consult an experienced doctor to assess suitability and plan a treatment suitable for their individual skin condition. It is also recommended to have the procedure done at a reputable medical facility for maximum safety.
• Post-operative care for nasolabial fold fillers is straightforward and quick. Simply avoid massaging or pressing the injected area and strictly follow your doctor's instructions to achieve safe and effective results.

What are the benefits of injecting filler into nasolabial folds?

• In terms of appearance, filler injections help to fill in deep nasolabial folds, making the face look firmer and more youthful, reducing sagging, and creating more facial contours for a more attractive look. Additionally, they help to balance the facial features for a more natural and harmonious appearance.
• In terms of self-confidence, those who receive filler injections are often satisfied with their more youthful appearance, leading to increased confidence in social situations and daily life.

Who is suitable for getting filler injections in the nasolabial folds?

Judging from the overall facial features.

• People with naturally occurring subcutaneous fat deposits in their faces.
• People with dull, lackluster faces look older than their age.
• People with good facial bone structure but who want to add fullness to their face.

Judging from the specific problem of nasolabial folds.

• Excessively deep nasolabial folds resulting from fat loss.
• Asymmetrical nasolabial folds need to be adjusted to be more symmetrical.
• Deep nasolabial folds can make the face look tired or older than its actual age.
• Nasolabial folds caused by loss of volume due to aging.

How do nasolabial folds (smile lines) form?

• As we age, we lose subcutaneous fat in the cheek area (deep medial fat compartment).
• The buccal fat pad (cheek muscle) has atrophied.
• Facial ligaments become loose.
• The skin loses its elasticity, causing sagging.

Depth of nasolabial folds

Level 0: No folds

• Smooth skin, with no grooves or wrinkles visible.
• It is commonly found in children and adolescents.
• This indicates good skin elasticity and a healthy collagen balance.

Level 1: Mild folds

• Fine wrinkles are beginning to appear.
• Wrinkles may become more pronounced when making facial expressions or smiling.
• This is the initial stage of age-related changes.

Level 2: Moderate folds

• Wrinkles become more pronounced, even when the face is at rest.
• The depth of the groove may increase.
• It is commonly found in middle-aged people.

Level 3: Deep wrinkles (Severe folds)

• The nasolabial folds are deeply defined.
• Clearly visible even without facial expression.
• It may affect self-confidence in one's appearance.

Level 4: Very severe folds

• The deepest nasolabial folds.
• It has a noticeable impact on facial appearance.
• It is commonly found in older adults or those who have experienced significant loss of skin elasticity.

Causes of nasolabial folds (smile lines).

1. Increasing age
2. The loss of collagen and elastin under the skin.
3. A reduction in subcutaneous fat.
4. heredity
5. Repetitive facial expressions
6. Rapid weight loss
7. smoking
8. Excessive exposure to sunlight.

Types and characteristics of nasolabial folds.

1. Skin Type

สภาวะ	Characteristics observed
A poker face	Normal skin type: With fine lines. Types of skin sagging: Prominent wrinkles, tissue contraction, and increased skin area. Nasolabial folds appear deep.
A straight, serious face, ready to smile.	The trenches are getting deeper.
Lie still on your back.	The nasolabial folds have faded or become invisible. Wrinkles remain or are reduced.
Lying on my back with a smile.	The nasolabial folds are noticeably smoother compared to the previous condition. Wrinkles appear smoother compared to the previous condition.
Lift the skin on your face while keeping your face still.	The nasolabial folds have improved significantly.

2. Fat Pad Type

สภาวะ	Characteristics observed
A poker face	In areas with chubby cheeks or thick layers of fat, nasolabial folds appear as indentations.
A poker face with a smile.	The trenches deepened and formed depressions.
Lie still on your back.	The nasolabial folds are slightly shallower, but they still remain indented.
Lying on my back with a smile.	The nasolabial folds are slightly shallower compared to the previous condition.
Lift the skin on your face while keeping your face still.	Significantly improved.

3. Muscle Type

สภาวะ	Characteristics observed
A poker face	The muscles are very tense, resulting in deep furrows in the cheek area.
A poker face with a smile.	The trenches are getting deeper.
Lie still on your back.	The nasolabial folds do not show any significant change.
Lying on my back with a smile.	The nasolabial folds did not become shallower compared to the previous condition.
Lift the skin on your face while keeping your face still.	Significantly improved.

4. Bone Retrusion Type

สภาวะ	Characteristics observed
A poker face	The bone in the cheek area is receding, and the upper part of the cheek groove appears as a depression.
A poker face with a smile.	The trenches deepened and formed depressions.
Lie still on your back.	The nasolabial folds remain unchanged or have become slightly shallower.
Lying on my back with a smile.	The nasolabial folds remain unchanged or are slightly shallower compared to the previous condition.
Lift the skin on your face while keeping your face still.	Slightly better.

5. Hybrid Type

สภาวะ	Characteristics observed
A poker face	Combining characteristics of two or more types.
A poker face with a smile.	The trenches are getting deeper.
Lie still on your back.	They vary depending on the subcategory.
Lying on my back with a smile.	They vary depending on the subcategory.
Lift the skin on your face while keeping your face still.	They vary depending on the subcategory.

The difference between Europeans and Asians.

Europeans

• It has a lower cheekbone structure.
• Thinner skin
• Deep nasolabial folds tend to form earlier because there is less subcutaneous fat.
• Nasolabial folds are often prominent and deep.

Asians

• It has a higher cheekbone structure.
• Thicker skin
• Having more subcutaneous fat makes the cheeks look fuller for longer.
• When nasolabial folds appear, they are usually not as deep as in Europeans.

Deep nasolabial folds – why do they make you look older?

• Deep nasolabial folds create shadows on the face.
• Loss of skin plumpness makes it look tired and dull.
• Clear angles and lines appear on the face, which are characteristic of aging.

How can I fix cheek creases that aren't very noticeable?

There are several ways to treat nasolabial folds (smile lines) for a natural look, and a combination of methods should be considered.

Biostimulator / Liquid suture / Ultra-fine filler

• The advantages:
  • Stimulates natural collagen production.
  • The results look very natural.
  • The treatment results last 1-2 years.
• choice:
  • sculptra
  • Radiesse
  • Ultracol
• Fine-textured filler
  • It can be corrected with fillers, but you must choose the lightest possible type to avoid an unnatural look.

What causes deep nasolabial folds even at a young age?

Nasolabial folds that appear in young people are not unusual, as they are not solely caused by age. Several other important factors contribute to this, including:

heredity

• Some people are genetically predisposed to having prominent nasolabial folds (smile lines) from a young age.

Facial structure

• รูปหน้า
• Fat distribution
• See More

Behavior and environment

• Sleeping with face pressed against the body
• Rapid weight loss
• Exposure to sunlight all day, continuously.
• drinking alcohol
• Heavy smoking

Beware! What are fake nasolabial folds or illusionary nasolabial folds?

In cases of excess cheek tissue and sagging cheeks, resulting in nasolabial folds, filler injections may not be the best option because...

It's an inappropriate solution.

• Fillers are suitable for filling in deep wrinkles.
• But it doesn't solve the problem of sagging skin and muscles.
• It may make your face look heavier and more swollen.

There are more suitable alternative programs.

• Thread lifting is used to tighten the skin and muscles.
• Ultratherapy, or HIFU, for deep skin tightening.
• RF (radio frequency) technology to stimulate collagen.

Recommended treatment guidelines

• You should consult a doctor to assess your skin condition and suitability.
• A combination of treatments may be required.
• Focus on addressing the root causes of the problem rather than simply fulfilling the existing solution.

The nasolabial folds and the marionette lines are in different locations.

Nasolabial folds and marionette lines are deep facial furrows that differ in location and treatment methods.

หัวข้อ	Cheek folds	Betel nut groove
Location found	From the side of the nose down to the corner of the mouth.	From the corner of the mouth down to the chin.
Main cause	Midface sagging, cheek fat loss.	Sagging skin in the chin area, loss of jawbone volume.
Depth of the skin layer	Medium-deep	Moderate
major blood vessels	Angular artery	Facial artery
Risk	Moderate	Elevated (near the facial artery)
Injection techniques	Linear threading, Fanning	Linear threading, Cross-hatching
Injection depth	Superficial-Supraperiosteal Layer	Superficial-Supraperiosteal Layer

The table shows the amount of filler used to treat nasolabial folds and marionette lines (amount per side).

Depth	Cheek folds	Betel nut groove
little	0.5-1 cc on each side.	1-2 cc on each side.
Moderate	1-2 cc on each side.	1.5-3 cc on each side.
very	2-3 cc on each side.	2-3 cc on each side.

Note:

1. The amounts given are just averages and may be adjusted up or down depending on individual skin conditions.
2. A follow-up appointment should be scheduled 2 weeks after the injection for further assessment.

Cheek furrow filler technique

• We should start by modifying the midface section.
• Injection using the layering technique.
• A cannula may be used for safety reasons.
• Be careful not to inject too deeply.

Nasolabial fold filler technique

• Be careful of the facial artery.
• A cannula should be used as the primary tool.
• It may need to be corrected in conjunction with increasing chin volume.
• Inject slowly and at low pressure, adjusting gradually.

Is injecting filler into nasolabial folds dangerous?

Injecting filler into nasolabial folds is both an art and a science that requires a deep understanding of facial physiology, especially regarding blood vessels and important structures. When a doctor possesses accurate foundational knowledge, combines a patient and meticulous approach to treatment, and employs safe injection techniques and accumulated experience, nasolabial fold filler injection becomes a highly safe procedure that can deliver beautiful and natural-looking results with confidence.

1. The importance of getting filler injections for nasolabial folds from an experienced doctor.
   • Facial Artery: This is the main artery that supplies blood to the face, running through the nasolabial folds (smile lines).
   • Angular Artery: This is a blood vessel that branches off from the Facial Artery and supplies blood to the inner corner of the eye.
2. D' Lovevery ClinicPrioritize patient safety.
   • Doctors must avoid injecting directly into a blood vessel.
   • Special care must be taken when injecting near vital blood vessels.
   • It is important to choose safe injection techniques, such as using the appropriate needle.

Advantages of injecting filler into nasolabial folds.

1. Adds dimension to the face, making you look younger.
2. Correcting deep nasolabial folds resulting from fat loss.
3. No surgery required, fast recovery.
4. See results immediately.
5. The quantity can be customized as needed.
6. The results look natural.
7. It can be modified or removed if you are not satisfied.
8. It doesn't take long to make (15-30 minutes).

Disadvantages and risks

1. Temporary bruising or swelling may occur.
2. The cost can be quite high, especially if there are many problems or the patient is older.
3. Repeat injections are necessary because the results are not permanent; they will gradually dissolve and shrink naturally.

Side effects of filling nasolabial folds.

1. Helps to lift and firm the skin around the cheeks and under the eyes.
2. Makes facial expressions look younger.
3. Helps to soften the cheekbones.
4. Makes your smile look more beautiful.
5. Reduce wrinkles around the mouth.
6. Helps to make the face look more balanced.
7. Boost your confidence when taking photos.
8. Reduce the use of cosmetics for makeup application.

Is injecting filler into nasolabial folds painful?

Injecting filler into nasolabial folds isn't as painful as some might worry, compared to injections in other areas.

1. Sunken cheeks, chin, and temples – less painful because the tissue is not delicate.
2. Cheeks, lips, under eyes – moderate pain. The tissue in these areas is more delicate than in other areas.

Compared to acne treatment injections.

• Injecting filler into nasolabial folds is less painful than injecting acne medication.
• Use a smaller needle than the one used for acne injections.
• Special needle techniques may be used in some cases.

The clinic offers a topical numbing cream to help reduce pain.

• Apply 15-30 minutes before treatment.
• Helps reduce skin pain.

The new generation of fillers causes much less pain because they contain a local anesthetic.

• This product contains the local anesthetic (lidocaine).
• It takes effect immediately upon injection.
• It helps to reduce pain during and after treatment.
• Helps you relax during treatment.

How many CCs of filler are needed for nasolabial folds?

Severity level	Characteristics observed	Amount of filler per side (cc)
Level 1: Minor wrinkles	Fine wrinkles become more pronounced when making facial expressions.	0.5-0.7
Level 2: Moderate wrinkles	Wrinkles are visible even when the face is at rest.	1-1.5
Level 3: Deep wrinkles	The nasolabial folds are deep and clearly visible.	1.5-2
Level 4: Very deep wrinkles	The deepest nasolabial folds are the most prominent creases.	2-3

Is it okay to get filler injections for the grooves at the corners of the mouth like this?

Filler injections into the nape of the mouth when smiling are possible, but special caution is required.

• This is an area with a lot of movement.
• Too much filler can make a smile look unnatural.
• Risk of filler migration.
• You should start with small amounts first.
• It may need to be combined with other treatments, such as Botox.
• You should consult a specialist to assess your suitability.

How many days does it take to see results after injecting filler into nasolabial folds?

How long do fillers for nasolabial folds last?

Nasolabial fold fillers are injected into areas that experience significant movement from daily activities such as speaking, chewing, and facial expressions. This frequent movement causes the filler to break down more quickly.

Generally, fillers for nasolabial folds last about 6-12 months, depending on several factors such as:

• Types of fillers used.
• Dosage injected
• Each person's metabolism.
• Lifestyle habits such as exercise and sleep.
• Post-procedure skin care

Filler for nasolabial folds will last longer if the patient takes care of it as follows.

1. Avoid massaging or pressing the injection site in the initial period.
2. Keep your skin moisturized.
3. Sun protection
4. Get enough rest.
5. Drink enough water according to the recommended guidelines.

Periodic filler injections may be necessary to maintain the desired results. It's advisable to consult a doctor to develop a treatment plan tailored to your individual needs.

What is a good brand of filler for nasolabial folds?

Nowadays, each filler brand offers products with diverse molecular designs, ensuring there's a suitable model for filling nasolabial folds. You can choose based on your budget and needs, as each brand has different strengths. Alternatively, consulting with an experienced doctor can help you make an informed decision.

Fillers suitable for injecting into nasolabial folds (smile lines).

Brand	Gel texture	Salient features	Stability period	Price level
Juvéderm	Soft and highly elastic fabric.	It distributes well and integrates with natural tissues.	12-18 months	High
restylane	Firm texture, retains its shape well.	It adds dimension, ideal for enhancing facial features.	9-12 months	Medium-high
After enhancing the cells, Teosyal® PureSense Redensity [I] ingredients progressively resorb, like any natural skin component, leaving the skin smooth and refreshed.	Fine texture, soft and smooth.	It blends well with the tissue and looks natural.	8-12 months	Moderate
belotero	Thin slices of meat, well-distributed.	Suitable for correcting minor grooves.	6-12 months	Moderate
Ultra V Hyal Filler, Neuramis, EPTQ	Smooth and flexible fabric.	Great value, natural results.	6-12 months	Medium-low

Important note

• Prices may vary depending on the medical facility and the quantity used.
• The duration of the effect depends on individual skin condition and behavior.
• You should consult a doctor to choose the type that is best suited to your skin type and needs.
• All brands are certified to meet safety standards, so you can choose whichever suits your needs.

The procedure for injecting filler into nasolabial folds. D' Lovevery Clinic

• Consult with the doctor for assessment. Dr. Tar will inquire about your medical history and evaluate your facial skin problems before providing service to every case.
• Cleanse your face. Cleanse your skin with a cleansing product and remove makeup before beginning the treatment.
• For skin comfort, our staff will apply a numbing cream to the patient's skin before the service and leave it on for approximately 30-45 minutes.
• The doctor began the treatment, with staff explaining that the correct type of medication was being used, as per the doctor's instructions. The filler could be inspected, and the treatment itself was quick, lasting only 20-30 minutes.
• Take medication as prescribed by your doctor. The doctor will prescribe medication (if applicable) and provide self-care instructions.
• Follow-up: You should attend your scheduled appointments with your doctor to monitor the treatment outcomes and ensure you receive the desired results.

Where is a good place to get filler injected into nasolabial folds?

With so many beauty clinics to choose from, it's crucial to make a sound decision. Don't be swayed by cheap prices or tempting promotions, because safety and results are paramount. Taking the time to research and verify a clinic's standards is far more worthwhile than having to deal with problems arising from a wrong decision. Read a detailed article on choosing a filler injection clinic here.

Standards for medical facilities offering filler injections.

• The clinic must be properly licensed to operate as a medical facility.
• The doctor's license and professional certifications were clearly displayed.
• It maintains high standards of cleanliness and safety.

Qualifications of a physician performing filler procedures.

• The physician must be certified and specialize in cosmetic medicine.
• I have experience specifically in filler injections.
• There should be verifiable work samples.

How to do a preliminary check before choosing a filler injection clinic.

• Clinic licenses can be checked through the website of the Legal Division, Department of Health Service Support.
• You can inquire about the doctor's background and experience.
• A consultation and skin assessment are conducted prior to the procedure.

Self-care after filler injection for nasolabial folds.

Post-injection care for nasolabial folds (smile lines) isn't very complicated. Those who have had it done before are likely familiar with these steps. However, for first-timers or those with particularly sensitive skin, it's recommended to strictly follow your doctor's instructions.

Instructions after filler injection for nasolabial folds.

• After the injection, swelling and bruising may occur, which should improve within 3 days. If the symptoms worsen, please contact the clinic immediately.
• For the first 48 hours, apply a cold compress to reduce swelling and bruising.
• Be careful to avoid bumping or hitting your face, and avoid strenuous facial movements during the first two weeks.
• Avoid all heat-related activities such as facial laser treatments, steam rooms, and saunas for at least 2-4 weeks.
• Avoid facial massages or any other treatments for 2 weeks.
• Refrain from consuming alcoholic beverages and all fermented foods for 2 weeks (if necessary, refrain for at least 48 hours).

What will it feel like after getting filler injections for the nasolabial folds?

For those who have never had filler injections in their nasolabial folds before, it may feel strange to touch the injected area. You may feel a raised gel-like bump under the skin, which is normal. Do not press or massage the area, as the skin will gradually settle naturally.

Don't worry that getting filler injected into your nasolabial folds will make your face look fatter or wider. The doctor will inject the appropriate amount to ensure your face looks firm and natural.

For those who have previously received injections elsewhere and feel that too much was injected, causing an overflow, this can be corrected by... Dissolving injection However, a doctor must first assess whether it is genuine filler to ensure safe treatment.

Comparing filler injections for nasolabial folds with silicone implants for nasolabial folds.

A comparison between filler injections for nasolabial folds and silicone implants for nasolabial folds.

หัวข้อ	Filler injection	Silicone implants
Treatment methods	Injecting fillers under the skin.	Permanent silicone implant surgery
Duration	15-30 minutes	1-2 hours
Feelings during and after the procedure.	⭐	⭐⭐⭐
Recovery	⭐ (1-2 days)	⭐⭐⭐ (7-14 days)
Durability	⭐⭐ (1-2 years)	⭐⭐⭐⭐ (Longer lasting)
naturalness	⭐⭐⭐⭐	⭐⭐
Subsequent revisions	Easy to dissolve; can be degraded with injection.	It's difficult; it requires surgery to correct it.
Unit Price	(8,000-30,000 baht)	(50,000-100,000 baht)
Risk	Low	High
Post-procedure care and contraindications.	Not redundant	More complex

Advantages of fillers

• No surgery required
• Short recovery period.
• Easy to fix
• Looks natural.
• Low risk

Advantages of silicone

• Permanent results
• Worth the long run.
• No need to repeat it.
• The results are clearly visible.
• You can control the shape and size with certainty.

Why choose D' Lovevery Clinic?

Choosing a reputable and trustworthy clinic is of utmost importance. Therefore, we are committed to providing you with the best possible experience in every aspect.

• Private and attentive. No long waits, no crowds, doctors provide detailed, case-by-case consultations, and are not rushed.
• Relaxed and free from pressure. There are no salespeople trying to close sales, and no pressure to buy courses.
• Convenient payment options, choose your preferred method. We offer deposit and installment payment options, including Shopee PayLater and 0% interest installments via credit card.
• Continued care by the same doctor. Follow up directly with the treating physician.
• Genuine reviews from real customers. Includes reviews from real users, not celebrities or influencers.
• Highly experienced and verifiable doctors.
• A standard clinic with convenient transportation. The clinic is certified and has free parking.
• Transparent and verifiable. Fast information, easy to check remaining course balance, all products are FDA approved in Thailand and verifiable.

• Paseo Town Ramkhamhaeng Branch Call 064-424-6526
• Crystal Design Center (CDC) branch Call 095-236-4546