Fillers in nasolabial folds or cheeks? (Photo)

I have an appointment for nasolabial Juvaderm injections tomorrow. However I now see recommendations mentioning fillers to the cheekbones that would produce a similar "lifting" effect. This was not an option offered to me when I had my consultation. Where are the fillers more beneficial, nasolabial folds or cheeks? I don't want to make the wrong decision and flaw my face even further...

Doctor Answers 13

Mid face volume correction

Thank you for your question. Aging occurs differently with every individual. I suggest comparing a current photo of your face with an old photo in order to help your doctor better evaluate areas of volume loss. Overfilling your cheeks to lift the nasolabial fold may not suite everyone.

On the other hand, correcting the nasolabial fold first before correcting the mid face, the old fashioned way, can cause a simian look.

The second option to minimize nasolabial folds would be a skin tightening procedure, which can lift sagging skin. Once skin is lifted, you might need less fillers in the mid face. Consider these options with your physician.

Boston Physician
4.8 out of 5 stars 47 reviews

Fillers in nasolabial folds or cheeks?

This is an excellent question. Different injectors have varying opinions on this matter. The reason you are noticing the nasolabial folds becoming more prominent is due to natural volume loss of the midface over time. I prefer to reduce the appearance of nasolabial folds by restoring lost volume to the cheeks rather than injecting directly into the fold, which can look unnatural. I like to use hyaluronic acid fillers such as Juvederm Voluma or Restylane Lyft in these areas. Based on the photos you have provided; you would not require much filler to see improvement. Please schedule a consultation with a board-certified plastic surgeon to learn more about treatment options for this area. 

Kian Karimi, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 67 reviews

Filler injection to the nasolabial folds and cheeks

One of the most common indications for filler in my clinic is mid-face volume loss. Juvederm Voluma, Radiesse or Restylane Lyft are all good choices for filling the cheeks and in doing so lifting the face. This lift will improve the nasolabial folds. Some patients, however, will require dedicated filler injection into the nasolabial folds. The photos you have provided make it hard to assess the cheeks but I recommend that you discuss your question with your injector prior to treatment. I also recommend that you get treated by an experienced injector.

Shaun Patel, MD
Miami Physician
5.0 out of 5 stars 55 reviews

NL lines vs cheeks

Hello, and thanks for your question and photos. For patients with similar patterns of volume loss I prefer to start with volumizing the cheeks, which can have a lifting effect and soften nasolabial lines. If after complete volume correction of the cheeks you're still finding you want more volume in the NL lines, you can have them filled at that time. To maximize the likelihood of a favorable outcome, I recommend that you only get treated by a well-trained dermatologist or plastic surgeon. Hope this opinion is helpful to you. Best of luck, Dr. Frucht.   

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Fillers in nasolabial folds or cheeks

I think at this time that fillers into the fold will decrease their visibility. In time, with progressive loss of fat in the cheek region, the nasolabial fold will get longer and at that time using fillers to the cheeks to replace the lost fat that has allowed the folds to get deeper may be a good choice.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Dermal Fillers in the cheeks versus the nasolabial folds

Dermal fillers can be safely injected into both the nasolabial folds and cheek regions.  As we age, we lose volume in the face especially in the cheek region. When this occurs the cheeks flattened and sag and will lead to deepening of the nasolabial folds. In reviewing your pictures, you have volume loss in the cheek region. I think injections into the cheek regions to lift, angulate, and defined your cheeks would give use appear result it would be "prettier".  I generally prefer to inject the cheek region over the nasolabial folds. If after injecting the cheek region you still feel the nasolabial folds are deep, you may choose to inject dermal fillers in that region at a later date.
I hope this helps

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

NLF or cheek for filler

As stated yesterday, the cheeks need addressing first. This might solve your problem entirely. If you look after the cheek filler is done and see the NLF aren't corrected enough, have them filled as well. When looking at volume loss, it is better to look at the face as a unit and not concentrate just on one area. You don't want one area to look great and other areas to not look so good, this looks abnormal.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews


Fillers in the cheeks may soften the folds slightly, but fillers in the folds are still important as well for direct improvement.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Filler To Nasolabial Folds Versus Cheeks

Thank you for your excellent question and for sharing your photographs.  Sorry that you are having some concerns about your nasolabial folds.  Based on your photographs, I would suggest Voluma to your cheeks first.  This will provide an upward lift, restore age-related volume loss in the cheek area, and indirectly improve the tear trough or undereye area.  It is likely that Voluma alone will address your concerns about your nasolabial folds.  Sometimes additional Juvederm can be added to the nasolabial folds, but I would suggest doing the Voluma first.  Please be sure to see an expert injector for an in-person consultation to fully address your concerns and to discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Christian N. Ford, MD
Cohasset Physician
5.0 out of 5 stars 30 reviews

Filling Cheeks vs. Folds

Hello,Based on your photos, I would recommend filler to the cheek area. This would help "fill in" the area of your cheek that lies underneath your eyes and a bit toward the curve of your cheek, known as the ogee curve, where you are just showing the beginnings of some flattening. It is likely that filling these areas alone will alleviate the nasolabial folds to your satisfaction and also create a tighter looking jawline. I hope your procedure goes well.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 75 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.