Has filler in the cheeks made my nasolabial fold look worse?

Question

ever since I got cheek filler I have noticed my nasolabial fold looks deeper is this normal, I'm guessing its due to the cheeks looking fuller in turn making the nasolabial fold look worse. I have always had quite deep nasolabial fold despite being 23 I don't really want to start injecting this area so young but I feel might start having too now .

Rupert Critchley, MD, MRCGP · Answer

Hi there,

I'm sorry to hear your concern, carefully placed dermal filler injections in across the zygoma / upper cheeks should create a lifting effect and soften the NL fold. Sometimes if the filler is injected further down and towards the nose in the mid-face this can create a little more of a weighty appearance.

I would recommend holding off any further dermal filler injections at the moment as the product you have present will naturally settle down and your heavier NL fold will settle down. You can always then re-assess the situation afterwards. It will save you money and any more hassle!

Hope this helps,

Dr Rupert

John J. Corey, MD · Answer

It's
always possible. If the filler is placed lower on the cheek pads sometimes it
can make the area around your mouth look fuller. Other times it's just a little
swelling and it should go away 4 weeks post injection, at the latest.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. It would be helpful to see before/after pictures and to know when you received the injections. Please keep in mind that side effects of Voluma are minor and will find within 2 to 4 weeks and the only noticeable results will be enviably youthful cheeks. I suggest that you consult with your board certified facial plastic surgeon.Best wishes,

Jason Emer, MD · Answer

I suggest a formal consultation you may need sculptra or other fillers to improve the folds and balance the cheeks.  Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately without a series of before and after pictures it is difficult to offer definite recommendations.  In general well-placed filler into a patient's cheeks will improve the appearance of their NLF as it repositions the cheek mound into a higher position while lifting the surrounding tissues.  I would speak with your injector about your results and see how an adjustment can be made to help minimize your NLF prominence.  Once your cheeks are at an appropriate size, any additional correction would require filler placement into your NLF.  Hope this helps.

Kouros Azar, MD · Answer

Normally, filler in the cheeks makes your NL folds look better. It is possible that yours wasn't placed correctly but hard to say without examining you in person. If things really bother you, I would suggest getting a second in person opinion from a board certified plastic surgeon or cosmetic dermatologist.

Sean Doherty, MD, FACS · Answer

In general, filler in the mid-face/cheeks makes the nasolabial folds look better. But your injector may have placed your filler lower. It's hard to say without examining you in person or seeing before and after photos. Assuming that it has been at least a month since your injections (because otherwise this could just be swelling) the I would suggest that you see your injector to discuss options. Best of luck.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question a_k_123. I am sorry to hear about your situation. Voluma is a
filler used to enhance the appearance of the face. It is difficult to make an assessment without before and after photographs. Normally if Voluma is placed correctly on the cheek it pulls the cheek up and improves the appearance of the nasolabial fold. If placed too low it is possible that it could make the nasolabial fold look worse. Please consult
with a doctor for specific recommendations.  Good luck!

Steven F. Weiner, MD · Answer

If the cheek injection is placed low and medial, it is possible to have the NLF look deeper. I like to place some filler in the top of the NLF, in the piriform sinus area in some patients. It is not the entire NLF. In general, cheek filler lifts the cheek and makes the NLF look better.

Michele S. Green, MD · Answer

It is possible that with increasing the cheek volume your nasolabial area may look a little deeper.  In these cases I would advise you to have a small amount of Voluma placed in the nasolabial area as well.  Please consult an expert.  Best, Dr. Green

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