How can my asymmetrical nasolabial fold be corrected? When I smile it appears to pull further. (Photo)

Question

I am hoping for some guidance on my right nasolabial fold. When I smile it appears to pull further, having an asymmetrical look. I find I chew more dominantly on the right side and have had some issues with grinding my teeth. I am getting veneers on the front four teeth in the near future.

Jason Emer, MD · Answer

I recommend fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Aldo Guerra, MD · Answer

I appreciate your question very much.I would suggest a dermal filler injection that looks extremely natural and is a flexible gel. The best option will likely be 1 syringe of Restylane Defyne followed by a syringe of Restylane Refyne. See an expert, Dr. ALDO

Stephen Giordano, DO · Answer

I think it would be a good idea to look at pre treatment photos, hopefully they have some with you smiling. I find that sometimes/most of the time patients have a natural asymmetry and when fillers are used it might accentuate that asymmetry, or the patient notices it more as they are looking in the mirror much more that usual.  If you had a Hyaluronic filler placed it can be dissolved to some extent if you really can't live with it.  Best of luckDr G

Dennis Wolf, BScHons, MBBCh, MRCSEd · Answer

Your nasolabial fold is slightly longer on one side and almost confluences with the marionette line on the one side.
A smile is a dynamic feature and thus in most cases we some degree of asymmetry in everyone.
Most smile lines cannot be changed as they are a dynamic feature.
This is part of your uniqueness - don't try change it.

Kriston Kent, MD, MPH · Answer

Thank you for your question.
Certainly, it is not unusual for our nasolabial folds to be asymmetric when we
smile. However, ideally, we all like to be as symmetric as possible. It would
be important to know if you have any asymmetry between your nasolabial folds in
a resting position. If so, injectable fillers might be able to assist in
improving the asymmetry both at rest and during expression. However, if there
is no asymmetry at rest, then the problem is most likely related to overactive
muscular activity on the right side. One could consider trying to improve the
asymmetry using neural modulators like Botox or Dysport. Certainly, it would
require a consultation with careful physical examination before I could give
specific recommendations. I hope this helps.

How can my asymmetrical nasolabial fold be corrected? When I smile it appears to pull further. (Photo)

Answers (8)

Answer: Asymmetrical fold

Answer: Asymmetrical fold

Answer: Rest and Active Expression..

Answer: Rest and Active Expression..

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How can my asymmetrical nasolabial fold be corrected? When I smile it appears to pull further. (Photo)

Answers (8)

Answer: Asymmetrical fold

Answer: Asymmetrical fold

Answer: Rest and Active Expression..

Answer: Rest and Active Expression..

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.