Can Botox Help Nasal Folds at All?

Doctor Answers 27

Botox for Nasolabial Folds

The use of Botox for global facial rejuvenation has evolved substantially with excellent results by injecting small amounts into the region of the fold to decrease contribution by muscles in this area, particularly the levator labii oris.

Fort Lauderdale Dermatologic Surgeon
4.3 out of 5 stars 10 reviews

Fillers better

Botox is good for wrinkles that appear when making facial expressions. Nasolabial folds are visible even when your face is neutral. In addition, if you had Botox administered here, it will negatively affect the movement of muscles you need for daily facial movement. For this reason, fillers are better for this area.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Botox for Nasolabial Folds

The only thing that Botox can do regarding the nasolabial folds is raise the corners of the lips when injected in the muscle that holds them downward to relax it. Nasolabial folds are best treated with a filler as they are a volume issue. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Botox is rarely used off-label to treat smile folds at risk

Some doctors rarely use botox to flatten th esmile folds. By using botox to relax the levator muscle of the lips, then there is less pulling of the upper lip and the smile crease can become flatter.  the disadvantage is that this can create a longer flatter  upper lip which may make the upper teeth covered and invisible during wide smiling. In can be hard to brush one's teeth.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Filler and not Botox most ideal for nasolabial folds

Nasolabial folds are static wrinkle lines and valleys due to loss of volume and overhang from cheeks due to degradation of bony structure that supports cheek prominence. Filler such as Restylane, Perlane, Juvederm, Radiesse and Sculptra are great for replenishing volume along these valleys and minimize shadow effect. Botox is meant for dynamic wrinkles, where lines are due to overactivity of facial muscles. In the hands of experienced aesthetic physician, Botox or Dysport can be helpful for the marionette lines if appropriate amount of botulinum toxin is injected to the DAO (depressor anguli oris) muscles.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Botox for nasolabial folds

Botox is injected into a muscle and stops it from moving.  This lessens the wrinkle in the skin overlying the muscle.  Botox is usually used in the upper part of the face.  Fillers are usually used in the lower face to fill in lines and wrinkles.  Fillers are the non surgical procedure of choice for Nasolabial folds.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Botox is for Nasolabial Folds?

Hi SGot.  Botox is a great product, but not for the area you are concerned about.  Botox and Dysport are effective at smoothing wrinkles in areas of the face where dynamic muscle action causes wrinkles.  This means when the muscles contract, wrinkles appear.  

In the nasolabial folds, these folds are present with or without muscle contraction and therefore the proper product is a dermal filler.  We use Restylane and Radiesse primarily in this area but Perlane and Juvederm are also good options.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews


Botox reduces muscle function. So, the nasal labial fold will not respond in a positive fashion

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Can Botox Help Nasal Folds at All?

Botox is useful for lines that are caused by muscles contracting since it works by relaxing those muscles.  It would be best to see a photo of which lines you are talking about to give you the best answer.  Alternatively, you can make an appointment with an experienced injector near you for a consultation.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Botox will not help nasolabial folds

Unfortuantely the nasolabial folds are a result of a combination of skeletal loss and volume loss, not due to hyperactive muscles.  Your best bet would be a soft tissue filler for these areas.

Daniel I. Wasserman, MD
Naples Dermatologic Surgeon
4.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.