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Is Botox Appropriate for Nasolabial Lines?

My main concern are nasolabial lines. I've read about frown and brow lines; is Botox appropriate?

Asked 31 months ago by theskywatches in Montclair, NJ

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nasolabial folds

Botox for Smile Lines

Hi Sky, Botox is great for wrinkles caused by muscle contraction like the frown lines between the eyes and the crow's feet at the outer eyes. Muscle activity in these areas are responsible for the development of fine lines and wrinkles. Using Botox in these areas can halt the muscle contraction and therefore get rid of the wrinkles. The smile lines (nasolabial folds) are caused by an altogether different problem. Gravity and loss of volume in the skin combine to cause the lines that appear... more

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Botox is for the eyes and up

Dear Thesky BOTOX works by weakening muscles. The muscles that pinch the brow are best treated with BOTOX. However from about the eyes down BOTOX can create problems with the muscles of facial expression and mouth movement. In particular, BOTOX has no role in treating the nasolabial fold. Fillers are much better and safer treatment choices for the nasiolabial folds.

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Fillers better than Botox for nasolabial folds

The best treatments for nasolabial folds are fillers. Fillers are injectable substances that plump up the skin from below, reducing the depth and shadowing that occurs as nasolabial folds deepen. I try not to completely eliminate the nasolabial folds because this begins to look un-natural. With fillers I start slow and build up if the patient requests it. In Austin my patients want to look better, but they don't want to look like they've had... more

Daniel J. Ladd Jr., DO

Austin Dermatologist

Botox is not for nasolabial folds

Botox is not used for nasolabial lines. Generally it is not advised to weaken these muscles as it can create the appearance of a stroke.. Fillers are generally used for this purpose.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Botox and nasolabial folds

Botox is not a good treatment for nasolabial folds. The best thing to treat the deep nasolabial folds are filler products like restylane, juvederm, and radiesse.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

No

The folds you are referring to result from time, gravity, and a weaking of the mid-face structures moving forward and downward. Botox works by weakening muscles that cause wrinkles. Therefore, fillers would be more apporpriate, or even a mid-face lift. sek

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Botox is dangerous in the nasolabial lines.

Hi! Botox near the nasolabial lines can weaken the muscles that lift your upper lip and that enable you to smile. And it doesn't work anyway. These lines need to be filled with either Restylane or Juvederm.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Botox is not for Nasolabial folds, fillers are the choice

As you mentioned Botox is GREAT for the frown lines and brow lines but not appropiate for nasolabial folds as it can cause more problems in that area than it is worth Fillers are gold standard for nasolabial folds and ther is an array of them to choose from.

Nissan Pilest, MD

Irvine Dermatologic Surgeon

Botox to the nasolabial lines

I agree with the other postings - that Botox is generally not appropriate for nasolabial folds. With so many excellent fillers available (that are longer lasting than Botox anyhow), there really is no reason to consider Botox for this area of the face. Good luck.

Bryan K. Chen, MD

San Diego Dermatologist

Fillers best here

While a tiny touch of Botox in a muscle called the Levator Superioris Nasii might slightly soften a nasolabial fold, it will lenghten the upper lip and possibly cause other unwanted side effects like changing your smile, so I'd say NO. Fillers do such an awesome job in this area, especially when combined with a little filler in the cheeks, there is no reason to do Botox here.

Mary Lupo, MD

New Orleans Dermatologist

Fillers are often the best answer

Depending upon your skin quality filler are the best option. If your skin is very loose you my also need a skin tightening procedure such as a facelift. This can be determined by a qualified plastic surgeon. Good luck!

Scott Tucker, MD

Winston Salem Plastic Surgeon

ASAPS ASPS

Botox for Nasolabial Lines

No, No, No It is dangerous to use it for this purpose. You should use a filler instead. There are a lot of great fillers to use in the area. My favorite are Juvederm, Restylane, Radiesse and Sculptra. Regards

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Botox is best used in the upper portion of the face

In our practice use of Botox is limited to the forehead and area around the eyes. Occasioanlly we also use Botox for dimpling of the chin. Nasolabial furrows are best treated with filler injections of Radiesse or Perlane.

S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon

Not Really

This is an area for fillers, not Botox. However, sometimes BOTOX is injected in an area just lateral to the furthest lateral projection of the nose. This is done if the cheek is overhanging the nasolabial fold. This flattens the area out and serves to decrease the nasolabial fold. This should only be done by an experienced physician, otherwise you will end up with a Cheney ( a crooked smile). Still, with the above possible exception, this is an area for fillers.