Female, 36, how long the filler will last for these folds? Are these too bad? (Photo)

At age 36, it’s very common to start noticing signs of volume loss in areas like the nasolabial folds (the smile or laugh lines). Based on your age and description, you are absolutely a candidate for dermal fillers. These folds are not “too bad” — they are natural and quite responsive to treatment.

Dermal fillers such as hyaluronic acid-based products (like Juvederm or Restylane) are commonly used to soften these lines. The results typically last 6 to 18 months, depending on the specific filler used, your metabolism, and the area treated. Many patients choose to maintain their results with touch-ups approximately once a year.

Fillers along the nasolabial fold tend to last 6-8 months. The help attenuate the fold somewhat but a better option is to lift the cheek via a small temporal hairline incision. This cheek lift can be done in the office under local anesthesia.

I do not believe it is the place of the doctor to answer the aesthetic question of how bad something is. Since beauty is in the eyes of the beholder, the judgement of whether something is really bad should be left to the eyes of the person herself or himself. Once this is determined by the patient, then an ethical physician has the permission to comment on whether s/he agrees that there is something wrong and, if so, what can legitimately be done about it.
In this case, if the smile lines truly bother you at this time, they can be quite easily treated with an appropriate HA filler. In general, results may last from 8-14 months, so annual touch ups should be anticipated. Fees depend upon exactly which filler is used and how much is needed. As to whether they need to be treated now, that is a decision for you to make. Should you decide to go forward with treatment, you would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Best of luck whatever you decide.

How long fillers will last will depend on the type of filler and the technique used to inject the filler. Typical hyaluronic acid fillers will last about 6 months. There are more permanent fillers like Bellafill which is actually a collagen stimulator. If injected correctly, the results can last for over 5 years. If you are looking for a more natural ans long lasting improvement, my favorite technique is the AutoCorre HD which uses a hyperdiluted HA filler with PRP. The results from this treatment can last over a years and the results can be cumulative ovet time.

Fillers are a great tool to improve the appearance of nasal labial folds. The treatment is done in the office with some of the improvement seen right away. Depending on the filler selected, results will last approximately one year. Yes, touch ups will be needed annually to maintain your results.

Based on your one posted photo a H A filler, long duration, for example, Vollure would be recommended which can last eight months to a year and a combination with the endolift laser treatment to smooth out the nasal label fold. H A filler per syringe ranges from $600-$1000, the ENDO Lift laser treatment is $3000. Best of virtual concert with.

You’re definitely a candidate for a filler in order to treat your nasolabial folds. There are great many hyaluronic acid fillers, which suit the bill. Most AHA fillers will last you anywhere from six months and longer, depending on how your body metabolize them. Touchups are only required based on your requirements. There are many patients in whom hyaluronic acid fillers can last for decades, I hope this helps and good luck from Leonard Grossman, M.D. NYC plastic surgery