Nasolabial Fold Fillers

Nasolabial Fold Fillers

A nasolabial fold refers to the fold that runs from the sides of the nose to the corner for the mouth. There are several causes of nasolabial folds and most can be treated with dermal fillers.

What causes nasolabial folds?

The cause of nasolabial folds is multifactorial. What we most often see is a fold caused by a descent or enlargement of the nasolabial fat pad which lies on the outside of the fold. This makes the area beneath the nose look like it has lost fat by comparison. When we gain weight, we will notice the nasolabial folds get bigger. It can also be caused by a reduction of skin quality of the region as we age or due to lifestyle factors. This will look different. Instead of a fold, the appearance will be more like a crease in the skin. These are treated differently. Nasolabial folds associated with volume changes are treated with more volumizing fillers whereas creasing in the area is treated by improving skin quality (skincare, lasers, microneedling) or skinboosters.

Why treat this area?

Since nasolabial folds deepening are associated with ageing, treating the area with dermal fillers can lead to a more youthful, rejuvenated appearance.

Treat the cheeks or the nasolabial fold first?

Many injectors will argue that because nasolabial folds are associated with volume loss in the cheeks, the cheeks should be treated with dermal filler first to lift the sagging fat.

However, volume loss in the cheeks is only one cause of fat descent. Often the nasolabial fat pads themselves increase in size. We find that filling to create a lifting effect often requires a large amount of filler and the lift is always subtle. At Asterie, we prioritise facial harmony which means that we don’t want to distort one part of the face to lift another. Generally speaking nasolabial folds require less filler to treat and we usually start with a total of 1ml in the area. This is more budget friendly and potentially more aesthetically appealing that using fillers to lift in the cheek area.

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Frequently Asked Questions

How much filler do I need for nasolabial fold treatment?


For both skinboosting or filling of the nasolabial folds we typically use a maximum of 1ml per sitting. Occasionally, more will be needed in a subsequent session depending on how deep the folds are.

What type of filler is used in the nasolabial fold procedure?


For nasolabial folds we prefer to use hyaluronic acid fillers. Collagen stimulating fillers are not suitable around this area due to the proximity to the muscles of the mouth. We prefer to use a thinner filler for the purposes of skinboosting this area while we opt for a medium consistency filler for volumisation. The ideal hyaluronic acid filler for this area should have a good degree of elasticity as this area is very mobile. A filler than is not elastic is going to look more lumpy and will be more prone to migration.

How much does filler in this area cost?


Filler in the nasolabial folds starts at $600. This is the typical price for treating this area.

Is this nasolabial fold area safe to treat?


Nasolabial folds, while a more common area for filling, is actually a higher risk area for fillers. The facial artery and its branch, the angular artery, lie at a variable depth and positioning relative to this fold. This underscores the importance of safer techniques for filling this area to prevent blindness and vascular occlusion. For an added charge of $150, we also offer ultrasound guidance to determine exactly where the blood vessels are positioned. We are one of the few clinics in Sydney to offer ultrasound guided dermal fillers.

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