What is the best filler for nasolabial folds and how many syringes would it take to reduce the size of mine? (Photo)

Question

I have used Radiesse in the past for lines around the corners of my smile and have been very happy with the results. Recently however, I have noticed that I am also losing volume in my nasolabial folds. I'm wondering what the best filler is for this loss of volume. I'm also wondering based on the pictures I've provided (sorry about the iphone quality), how many syringes you would think I would need to notice a difference.

Michael A. Zadeh, MD, FACS · Answer

Hi Sara. There are a few different fillers you can use to correct the volume loss of your nasolabial folds. Which filler is chosen partially depends on the preference of the injector. I personally like using Juvederm Ultra XC or Juvederm Ultra Plus XC depending on the depth of the folds. I prefer Juvederm because it is pure hyaluronic acid, its smooth, and it contains Lidocaine. Another benefit of the Hyaluronic acid fillers is that they are reversible. I think 2 syringes should probably be enough to give you a nice correction. Make sure you choose an experienced injector and I think you will be happy with the results you will get. Best of luck to you!

Nima Shemirani, MD · Answer

Hi @sarajkl! Thank you for sharing your photos. I typically use Restylane Defyne to address the nasolabial folds and piriform fossa. I would recommend 1-2 syringes. Adding too much filler to the NLF can look unnatural and can give you a monkey appearance if overfilled.

Stephen Weber MD, FACS · Answer

Typically, two syringes of a dermal filler product composed of either hyaluronic acid (Juvederm, Perlane) or Radiesse would be adequate. You could also consider fat transfer for a potentially longer-term result. The key is that the nasolabial fold would be more shallow but would still be present especially when you smile. The fold is natural and overly filling this area can be more objectionable that a slightly deep fold. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

William Groff, DO · Answer

Hi Sara-- I like the Juvederm products for this area. They are soft and appear natural. Unlike Radiesse, they can be dissolved if you don't like the result or have a complication. 1-2 syringes would certainly suffice. Best, Dr. Groff

Henri P. Gaboriau, MD, FACS · Answer

I have use extensively Radiesse in the NLF with great results. As far as Voluma (made by Allergan, same family than Juvederm), I  have used it in the NLF for the last 2 years. Even though it is difficult to make a decision based on pictures, I would think that both could work great for you. Radiesse: last about a year and you may need 1 to 1 1/2 syringe Voluma: last about 2 years and you may need 2 syringes. More expensive to start with but last longer. Hope it helps!

What is the best filler for nasolabial folds and how many syringes would it take to reduce the size of mine? (Photo)

Answers (10)

Answer: Filler for nasolabial fold

Answer: Filler for nasolabial fold

Answer: Radiesse vs. Voluma

Answer: Radiesse vs. Voluma

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What is the best filler for nasolabial folds and how many syringes would it take to reduce the size of mine? (Photo)

Answers (10)

Answer: Filler for nasolabial fold

Answer: Filler for nasolabial fold

Answer: Radiesse vs. Voluma

Answer: Radiesse vs. Voluma

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.