Can you inject filler at the base of the nose to minimize nasolabial folds?

Hi @Canadian_NewYorker. HA dermal fillers injected into the piriform fossa is a great way to smoothen out the nasolabial folds. Restylane Defyne works great in this area. Best of Luck, Dr. Nima!

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Dear mghazi11,
Thank you for your question. I recommend you seek an in-person consultation with a facial plastic surgeon or plastic surgeon who is an experienced injectable specialist who can perform a thorough evaluation and discuss with you the best treatment options to meet your goals. For the nasolabial folds, I often like to treat the cheeks first as the cheeks are often lacking volume and deficient. Lifting the cheeks will help minimize nasolabial folds. If the nasolabial folds are still prominent or are more of an etched nature, then I pursue direct filler injection to the nasolabial folds. The depth of injection depends on the nature of the folds. The key to not creating a bullfrog appearance is not overtreating the area. Patients need to have some degree of nasolabial folds to appear natural, especially with smiling. 
Thuy-Van Tina Ho, MD
Facial Plastic Surgeon

I think want you are referring to is injecting into the piriform recess. It depends on the severity of the fold but you can certainly start there. Just be careful if the angular artery crosses superficially in that area so you need to inject deep a cannula is also safer specifically 25G cannula reduces bruising and less risk of compromising the artery and causing an occolusion. Nasolabial fold is high risk! so make sure you go to expert injector who really respects the anatomy. Since this is such a dynamic area of movement depending on the depth of the fold I would use medium G' hyaluronic acid dermal filler or even medium high dermal filler...Voluma, Restylane Lift sometimes even Radiesse if the fold is severe. .1cc-.2cc. Talk to your injector make sure you don't get overfilled in this area as well.

Hi,thanks for your question.Naso-labial folds lines are result of normal aging changes of the face which includes changes in the bone, soft tissue and skin. If a doctor is simply injecting the area of the folds, it very difficult to improve them and still have it look natural. You usually have to treat the support structures of the face by injecting in the mid face or cheek area to lift, rather than injecting directly into the nasolabial fold. Each face is different, and the treatment and fillers used are going to depend on your skin type, what other fillers you’ve had, your age and so forth. It is always best to treat the face as a full unit, and think of it that way rather than looking at specific lines, because that is a way of keeping a treatment looking very natural. I prefer to use Sculptra, Juvederm Voluma and Radiesse to lift and shape the face which can improve naso-labial folds and fold under your lower lip rather than simply injecting thinner fillers directly to the folds.  Ultherapy and Thermi technologies can also be effective, minimally invasive treatment options for improving marionette lines by lifting and tightening the face. Once again, seek out an experienced injector of the face who can do a complete facial analysis and explain to you what would be the best way to move forward. I hope that is helpful. Best of luck.

I inject a great deal of Juvederm Voluma to the cheek area and will complement those injections with Juvederm or Restylane to the nasolabial area in the manner described depending on how deep your nasolabial area. Please consult an expert in cosmetic facial injections to avoid over injection and have the best cosmetic results. Best, Dr. Green

Hello - in my practice I inject filler into the top of the nasolabial folds on almost all patients. The goal is to push out the triangular indentation between the fold and the nostrils. There is a blood vessel under the skin that travels up the side of the nose and provides blood supply to a substantial portion of the inside cheek and nasal skin. Injection placed into the wrong location can result in serious complications, therefore precise placement using either needle or cannula is a must. I recommend seeing a physician injector who knows facial anatomy exceptionally well, like a facial plastic surgeon. 
Best - Dr. Singleton 

Great question.  When injecting filler to correct the nasolabial folds, I typically will inject into that triangular area at the base of each nostril, followed by injections directly into the fold.  I recommend Juvederm ultra plus xc or Vollure.  When choosing an injector, please make sure you find a reputable and trained nurse injector or board certified plastic surgeon.

I do agree that injecting a filler at the base of the nose helps the face be rejuvenated significantly better than with just nasolabial fold injections. For this reason I perform this injection on almost every individual over 35 years of age.This area however has many blood vessels and is considered the danger zone for injecting fillers. When injecting filler into this area a cannula must be used or it may result in necrosis or worse loss of eyesight. Good luck from New York City