Nasolabial fold Botox, filler or buccal pad removal? (Photo)
Doctor Answers 12
Selecting a treatment for nasolabial folds when smiling.
Botox and other neuromodulators are great for muscles that cause wrinkles, particularly around the eyes. Around the mouth, the muscle groups are so complex, it's challenging to get a consistently good outcome. There is even potential to give you a lop-sided or unnatural smile.
Fillers are great for wrinkles that you see at rest, particularly in the nasolabial fold area. However if there are no wrinkles at rest, then fillers won't help. They may even create too much volume that bunches up when you smile.
In my humble opinion, when you have a beautiful smile, with no nasolabial lines at rest, and natural facial volume, take confidence in the fact that there are many other people who envy your youthful features.
Treatment of nasolabial folds
I hope this helps.
- Dr. Bryson Richards
Botox vs fillers vs fat removal
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Nasolabial fold Botox, filler or buccal pad removal? Dr. Shah says do nothing!
Thanks for your question.
As you have no nasolabial folds at rest, there is probably little you should do at this point. Adding filler to the nasolabial fold will increase the width of your cheeks and take away normal facial contours making you look very doughy and puffy.
You have no indication for Botox here or for buccal fat pad removal at this time.
Your face looks normal, so anything you do to it now will make it look abnormal.
I would definitely suggest you looking into a filler such as Voluma for the cheeks to decrease the nasolabial area. Botox injections around the masseter muscle will help a great deal as well. Thermage will tighten the jowls and also help a great deal with the folds. Please consult an expert for the best results. Best, Dr. Green
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Jon A Perlman MD FACS
Certified, Am Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Beverly Hills, Ca
Deep folds with smiling
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