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Creating Natural Looking Nasolabial Smile Lines

Posted: 1:27 p.m. Friday, May 22, 2015

By Anita Mandal, M.D.
Question: I have deep lines from my nostril to mouth corners. A doctor who is not a plastic surgeon injected Juvéderm. Now my face has an overfilled “monkey” look. How did things go so wrong?

Answer: To treat nasolabial smile lines (NLF), a skilled injector recognizes differences in nasolabial fold (NLF) aging. Deep NLF grooves can be due to volume loss deep to the skin whereas superficial smile lines can be due to collagen loss in the skin. Many have a combination of both.

When NLF grooves are limited to a wedge-shaped depression on either side of the nostril, filler is placed in this triangular depression for natural results. If filler is extended further down, the NLF looks overfilled giving a “monkey” look. If, however, the groove is longer, extending to the mouth corner, more extensive filling can give natural results.

Recognizing the difference between nasolabial grooves and nasolabial lines is key. Superficial lines are treated with a line filler such as Restylane or light Juvéderm. Deeper grooves due to volume loss require deeper fillers like Perlane, heavy Juvéderm or Bellafill, the latter being long lasting and most cost-effective.

NLF treatment to achieve natural results is more complex than many physicians may think. You can reduce errors in NLF rejuvenation by choosing a board certified facial plastic surgeon.

It is a misconception to think you should only seek a surgeon for surgery. Facial Plastic Surgeons are rigorously trained, skilled and knowledged in both non-surgical and surgical facial aesthetic treatments. Each time you have a non-surgical procedure by a less qualified doctor, you increase your risk of complications and poorer results. When it comes to your face, why would you even consider anyone other than a Board Certified Facial Plastic Surgery specialist? Log on to www.abfprs.org to see if your doctor is board certified in Facial Plastic Surgery.

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