I have had prominent nasal labial lines from a relatively young age. My face (specifically smile) is VERY expressive and thus the lines are becoming more "permanent" as I get older (I am 30 now). I am trying to stay away from injectibles for as long as possible as I am concerned about lumps, asymmetry, etc. Would Retinoids or Glycolic/Mandelic Acids reduce these lines? While I know they will not affect the way my face moves, does anything other than fillers plump up these areas?
Reducing Nasal Labial Lines Without FIllers
Doctor Answers 4
One of the nicest things about hyaluronic acid fillers Juvederm and Restylane, are they are reversible. If you do not like the result, hyaluronidase can be used to get rid of the filler. In young patients with furrows in this area, these injectables are the safest, and most cost effective choice. With numbing cream and ice, the new filler with lidocaine (Juvederm XC, Restylane L) are painless. Make sure you are injected by a Board Certified Dermatologist, or Plastic Surgeon who also has experience with hyaluronidase so you feel comfortable. I really don't think there are other effective, safe options out there to really improve the area you are concerned about.
Hope that helps.
Madeline Krauss, M.D.
Wrinkle Reduction Alternatives
While fillers are probably the most cost-effective technique for plumping nasolabial folds without surgery, other options include fractional laser or a novel new non-invasive technique: Ulthera.
Ulthera uses ultrasound to stimulate collagen production in specific components of the facial tissues.
Reducing lines along nasolabial folds
Effective solution to any aesthetic concern must address the underlying etiology. In this case, nasolabial folds are caused by combination of loss of volume of nasolabial folds (requiring volume replenishment) as well as loss of bony structure on upper cheeks leading to sagging and overhang of cheeks creating shadows over lips. Filler injections along nasolabial folds and cheek augmentation are the best nonsurgical treatment. Any concern about asymmetry from fillers is of minimal concern in the hands of experienced aesthetic physicians especially when hyaluronic acid fillers such as Juvederm, Restylane, or Perlane are used as they are completely reversible with hyaluronidase in the worse case scenario.
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