Nasolabial folds look permanently ruined after filler. What can I do?

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank for your question and for providing pictures.  I'm sorry you didn't achieve the look you desired.  At this point it seems that you may need more treatments to dissolve the filler.  I always recommend scheduling an appointment with an experienced doctor in order to get the best results.  All the best.

Dear Tummy27,Voluma in my opinion is a poor choice for the nasolabial folds because of its density. It is possible that your hyaluronidase was not injected correctly or you were underdosed. Otherwise, you may have developed some scar tissue to be removed. There is also always the possibility you were injected with something else. I recently had a patient who had lumps on her lips, and had been told she had Juvederm, but when the pathology came back it was silicone. Make sure your injector is experienced and reputable.Good luck,Nirmal R. Nathan, M.D.

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Hi, 
Thank you for your question and attached photos. It appears that the nasolabial lines were injected superficially with a product that is not intended for this region. My suggestion would be to attend a reputable clinic and have further attempt to dissolve the filler using Hyalase. Sometimes, it can take a couple of sessions for the filler to completely dissolve. Once the old filler is dissolved, consider lifting the cheeks with midface filler - which will also improve the nasolabial lines you were trying to address in the first instance. All the best!

Thank you for the question and photos! Voluma would not have been my first choice for that area. A risk of any filler is that you may have bumps after. Sometimes it takes several sessions to completely dissolve those bumps, especially if they are larger. I would suggest massaging the area and consider following up with your injector. Good luck! 

Thanks for your question and your photos.  First of all, you appear to be very young, so hopefully over time the filler will be absorbed and metabolized by the body and you will just age naturally, without any visible signs of lumps near the mouth.  I am surprised your injector used both Belotero and Voluma in that area, usually Belotero is nice and soft and forgiving, but Voluma is usually reserved for deeper injection in the upper cheeks.   There is always a risk of the filler being visible on the surface if a thicker or more robust filler is used in areas that are dynamic (or move a lot).  You might want to seek a second opinion from a board certified dermatologist who specializes in cosmetic procedures, and be sure to clarify which filler was placed in which locations, since Belotero and Voluma are quite different in their properties.  Best of luck!

Hello. Thank you for your question. In order to fix your NLF, you should add volume to your cheeks. This will help lift the heaviness causing the fold. Try massaging the area where the filler is lumpy a couple times a day. This would help spread the filler out.