Can Juvederm Injections Make the Nasolabial Folds Creases Look Even Deeper?

The purpose of the filler is to add volume and soften the nasolabial folds.  If they made the creases deeper, then I do not think many patients would be undergoing these injections.  If Juverderm is injected improperly, then it may make the fold deeper. 

Thank you, and I hope this helps!

   Juvederm. when injected correctly, should help efface the nasolabial folds.  It the filler is injected to either side, this may deepen the fold.

Something like this can only occur if the injections are not performed properly. When choosing a physician to perform injections of filler, I would recommend doing your homework and finding one who is board certified and has a great deal of experience. This will minimize the chances of any undesirable side effects occurring after treatment. All physicians have their preferences with filler, and I have found Perlane and Radiesse to work fantastic for the nasolabial folds. Good luck with your treatment! 

Fillers are designed to make lines look less deep, but unfortunately, the results depend on skill of the injector. Poor technique can actually make the lines look deeper, especially if the injector fails to understand the specific cause for your lines and the anatomy.  Choose your injector wisely.

Sounds like this might have happened to you.  Sometimes the filler preferentiallly fills in one side of the crease or the other and not the creas itself.   It is best to carefully tunnel the needle precisely below the crease and not repeatedly tunnel to one side or the other (so the filler is less likely to migrate out of the tunnel).  Your best bet is going to an experienced operator.  Actually, I do all my own injections personally (rather than having a nurse do it) because it is not easy and demands expertise.  I've attached a link to my website in case you want to read more.

Dear Gemjones,


The short answer is no, given that you have an experienced injector

To soften those lines, it may be better to place the Juvederm higher in the cheek to lift the cheek so that the nasolabial fold looks better (try it in the mirror)

Placing it in the cheek also gives a more attractive appearance as it gives you higher cheek bones, a more heart shaped face and makes the smile lines better


Best regards,

Nima Shemirani

It's unlikely the adding filler would make a line look deeper, but if it was not injected in the bottom of the fold and instead went into the high side it could add weight to the full side making the fold look deeper.  It could be placement.  More product might even things out.

I would say that if the Juvederm is injected well, it should not make the nasolabial folds appear deeper.  With an inexperienced injector, the Juvederm may be injected above the crease into the fold rather than just below it, and this can result in making the nasolabial fold appear deeper.  

Juvederm or any filler improperly placed (e.g. above the nasolabial fold) or if it were to move for some reason (e.g. you slept on your face, had a deep massage, went boxing after) can worsen the appearance of the laugh lines. Make sure to have a highly experienced and trained injector (e.g. dermatologist, not a delegate) treat you to avoid such problems. Dr. Benjamin Barankin, Toronto Dermatology Centre.

If Juvederm is injected above the nasolabial folds it can exacerbate or emphasize the wrinkle rather than softening it.   This is generally a mistake which you see only with novice or poorly trained injectors.  I do not allow a nurse or any other health care professional to perform injections in my office.  Hyaluronidase should be able to dissolve the Juvederm and correct the problem.