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Which filler is recommended for nasolabial folds?

Nasolabial folds respond well to hyaluronic acid fillers like Juvederm or Restylane, or to calcium hydroxylapatite fillers like Radiesse, injected directly into the fold to add structure and fill the depression. Another approach, and often the better one, is to inject Voluma higher up in the cheek. Volume loss in the mid-face causes the cheek to descend, which deepens the nasolabial fold from above. Restoring that cheek volume lifts the tissue back into position and softens the fold indirectly, rather than just filling it. Voluma results can last around two years, though this varies by patient and may require more than one syringe. Which approach makes sense depends on where your volume loss actually originates, cheek versus the fold itself, and that's something best assessed in person by a board-certified plastic surgeon who can examine your anatomy and tailor the plan accordingly.

Clinical Context

Choosing a filler for nasolabial folds depends on how deep the fold is and whether it's caused by local skin laxity or by volume loss higher in the cheek. Softer hyaluronic acid gels suit shallow folds, while firmer products or cheek volumizing work better for deeper folds tied to midface descent. Your surgeon will examine your face at rest and while smiling to determine which pattern applies before recommending a specific product and injection site.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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