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Can I Skip Radiesse in Nasolabial Folds if Injected in Cheeks?

asked 4 months ago by melana
Latest answer by Donna Bilu Martin, MD
Question viewed 348 times
Tags: cheeks, nasolabial folds, expectation

I went for a consultation to get a filler in my nasolabial folds. The Doctor suggested to inject Radiesse in my cheeks instead. Said that they are little flat, and filling them would take care of the nasolabial folds, (no need to inject Radiesse in them). Does this truly work?

11 answers to Can I Skip Radiesse in Nasolabial Folds if Injected in Cheeks?

Can I Skip Radiesse in Nasolabial Folds if Injected in Cheeks?

This makes little sense. Radiesse is a great filler to shape and contour the face. Aesthetically, the cheeks are the most important beauty feature, of the face and as such should be ideally shaped and contoured IMHO. However, if the NLF's are deep, these will not be affected by shaping the cheeks with Radiesse as no volume of filler was placed within the NLF. Treat both if both areas require treatment. I prefer using Perlane to shape the cheeks and... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Filling cheeks to improve naso-labial folds

Deep nasolabial folds and hollow cheeks often go hand-in-hand. With time, bone and fat atrophy, leaving cheeks hollowed and sunken. I often find that the nasolabial folds improve greatly once cheeks have been volumized. It may still be necessary to inject filler in the nasolabial folds as well, but usually less is needed. Additionally, injecting only in the nasolabial folds and ignoring the cheeks can produce an unnatural look. If all the areas of volume loss... more

Donna Bilu Martin, MD
Miami Beach Dermatologist

Fillers in the cheeks vs. nasolabial folds

We all lose volume in our cheeks with age. This causes loss of support which in turn results in the nasolabial folds to fall, causing a deeper nasolabial crease. However, loss of volume also occurs in the subcutaneous tissue and bone under the skin between the upper lip and nose. Yes, injecting a filler in the cheek does reduce the naslolabial crease, but the need for additional filler in the NL crease would be determined by your needs and location of your volume loss. I... more

E. Ronald Finger, MD
Savannah Plastic Surgeon

Nasolabial injections are over-emphasized

My compliments to your doctor. Because the FDA approves fillers in the nasolabial fold, that is all that can be advertised by the manufacturer. Revolumizing the cheeks is more important that filling the nasolabial fold. Advanced injectors always address flat cheek before filling the nasolabial folds. It is an "off label" use of fillers like Radiesse and Perlane, but it is very much the standard of care. Stay tuned for Voluma from Allergan that likely will be the first filler... more

Mary Lupo, MD
New Orleans Dermatologist

Radiesse in cheeks can minimize nasolabial folds

Having not seen your photo, I will answer in general terms. I LOVE the idea of first revolumizing the cheeks and mid face with Radiesse or a hyaluronic acid filler when there is evident volume loss. Replacing volume and support to the overlying skin, often diminishes significantly the appearance of the nasolabial folds. For the most natural, and usually the most satisfying outcome, slow and steady wins the race. I would follow your doctors suggestion to first fill... more

Lesley Clark-Loeser, MD
Miami Dermatologist

Lifting cheeks with a dermal filler can help nasolabial folds

Absolutely radiesse in flat cheeks can help reduce the appearance of nasolabial folds. In fact, I will often recommend against filling the folds until the cheeks are filled back to natural, youthful contours and fullness. You are likely getting very good advice.

Elizabeth F. Rostan, MD
Charlotte Dermatologist

www.charlotteskinandlaser.com

Radiesse in cheeks versus folds

Radiesse is a great filler to enhance the cheeks and they do soften the folds. As we age we do lose volume in the face and restoring some volume to the cheeks is a great way to rejuvenate the face. With respect to the folds, this depends on how deep they were to begin with and what you consider aesthetic. I often start in the cheeks and then use much less in the folds compared to if I just focused on the folds. Hope this helps. Good luck.

Young R. Cho, MD, PhD
Houston Plastic Surgeon

Radiesse is Effective for Nasolabial Folds

It is very common to see loss of volume in the mid-face as we age. This results in a deflation effect and sagging of the cheek skin with the result being deepening of the nasolabial folds. If you correct the volume loss with a product like Radiesse, this will typically reverse the deflation and descent of the facial tissues and improve the nasolabial fold. Many times patients receive filler in the nasolabial fold, when the real problem is loss of volume in the cheek area.... more

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon

Radiesse is best for its lifting effects

I always prefer Radiesse, even for first time patients, because of it's superior lifting effects and longevity when compared to the hyaluronic acid fillers such as Perlane. It is often better to fix the cause of the wrinkle, not just treating the wrinkle itself. For this I use a volumizing filler such as Radiesse to inject higher along the cheekbone at "vector points" that provide the greatest lift. The nasolabial folds can be dramatically improved by injections... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Radiesse in the cheeks

Radiesse in the cheeks or midface can help the nasolabial folds but usually not enough to eliminate having to treat them. For the majority of patients, Radiesse works fine as a first time filler. For apprehensive patients, a hyaluronic acid such as Restylane is better since it can be reversed.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

Radiesse in cheeks

First let me say that I don't ever recommend Radiesse as a filler for first-time patients. There is no way to remove Radiesse if you don't like it, so I always prefer patients start with Juvederm or Restylane. With that being said, no, I don't think you can fill the cheeks and alter the facial structure enough to not need to fill the NLF lines. It is a good idea to fill the cheeks (and I do often use Radiesse in this area), but I never do it to replace filling the NLF lines. I... more