To Smooth out Nasal Labial Lines is It Better to Get Filler in my Check Bones or the Actually Folds?

I am a 35 year old female with nasal labia folds. They are not too deep however I think they age my face quite a bit. I have heard that you can smooth out the lines by getting filler in your cheek bones. Is this a better option to filling the lines themselves? I have been to two clinics and one said filling the lines is a better option and the other said filling my cheekbones. I'm a little confused now...

Doctor Answers 12

To Smooth out Nasolabial Folds is It Better to Get Filler in my Check Bones or the Actually Folds?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This is a very well informed question. Beginning injectors learn to plump up folds with filler. This works in some cases. As injectors become more advanced they learn to treat the root cause of the problem. Patients with cheek descent or cheek atrophy develop deeper nasolabial folds due to "falling" cheek bones. In people with this problem, augmentation of the cheek treats the cause of the problem (descent of the cheek) rather than just filling the resulting fold. In most cases, I will place a variable amount of filler in the cheek as well as the nasolabial fold to fully correct both cheek descent and a deep nasolabial fold. I hope this information is helpful.

Stephen Weber MD, FACS

Weber Facial Plastic Surgery

Filling lines and folds as opposed to filling cheek bones

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The answer depends on the depth of your folds as well as your budget. In some cases, if the folds are mild, then filling the folds or lines is often sufficient. If one is older and the folds deeper, then filling the folds ALONG WITH filling the upper cheeks is a useful way to treat the root cause and the end result for a better more natural look. There isn't a perfect right answer, but the most important decision is to go to a highly trained and experienced physician who will tell you the truth for your situation. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon

To Smooth out Nasal Labial Lines is It Better to Get Filler in my Check Bones or the Actual Folds?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

    At your age you may have some midfacial descent that can be amenable to cheek injections.  The more common scenario at your age is to have subtle nasolabial folds that can be injected directly.  Kenneth Hughes, MD Los Angeles, CA

You might also like...

Augmenting Nasolabial Grooves vs Cheeks

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You said you're now confused and without pictures so am I. Both procedures are appropriate but I need to see which is better for you.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

The best ways to treat the nasolabial folds

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Age-related changes throughout the face result from the combination of multiple causes: skin laxity due to the loss of collagen and elastic tissue fibers, loss of subcutaneous fat, gravity-induced sagging in the skin and underlying tissues, and changes in the underlying bony structures. Deeper fillers such as Radiesse and Sculptra are often not injected directly into these wrinkle lines and folds, but rather into multiple areas of the face to treat the volume loss that leads to their appearance. This leads to the subtle and natural-looking results that are so often desired. Patients don’t want to look “done” but also don’t want to look “tired”. Seemingly small changes in shape, proportions, balance, and symmetry can have a surprisingly large effect on our perception of the face.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.4 out of 5 stars 13 reviews

Choosing where to place filler to reduce naso labial folds

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

By understanding the underlying facial fat compartments, you can more fully understand why your face develops folds in the first place.

Each compartment has an effect on the other and it's only by a physical assessment can it be determined which fat compartment(s) might be losing volume.

Structurally it makes sense to consider (and treat as indicated) each interdependent compartment and the overall impact it has and can have on facial contours.

Intimate knowledge of anatomy is a crucial element. Sometimes chasing the fold or wrinkle itself will have no effect - or in some cases - the wrong effect. We all have natural contours that make us look like who we are. Erasing those contours is not the objective. Correctly restoring them to a previous point requires making sure all the various puzzle pieces fit..

You might find it useful to view some of your younger photos and see where you have lost fullness. This will help establish what's going on beneath the surface.


Rebecca Fitzgerald, MD
Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 22 reviews

Juvaderm and Nasolabial Folds

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In most cases of early NL fold formation, injection directly into the fold works well.Filling out the volume loss in the surrounding cheeks may be needed for more advanced cases but more filler will be needed as well.

Joseph Fata, MD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 105 reviews

Filler for nasolabial folds or cheeks

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is really patient dependent, sometimes especially in a young person a little filler directly into the nasolabial folds is enough, in other patients they may need the cheek area augmented as well.  You need to find a doctor you are happy with and work with them.  There is more than one way to address an issue. 

Rebecca Baxt, MD
Paramus Dermatologic Surgeon
4.8 out of 5 stars 29 reviews

If I want my NLF lines filled, should I get filler there, or in the cheeks?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Good question. If you had a photo we could better answer this. In general, if your NLF lines aren't overly deep, and you have good facial volume, then it's fine to fill in that area with filler. If your facial structure is thinner or more gaunt, sometimes it is better to create more of a cheek and volumize there. There's not going to be a correct answer to give on this one because it really depends on your facial structure and current volumization.

Juvederm works well for cheeks or nasolabial folds.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Juvederm can work well both as a cheek filler and for nasolabial folds.  Younger people tend to initially develop increasing nasolibial folds before volume loss in the cheek area.  At 35, I would suspect (without a picture) that filling the nasolabial folds would be the procedure of choice.  If there is volume loss in the cheek then filling this area would help.  The bottom line is that you should treat what bothers you the most and go to someone with experience in injecting.

John Landi, MD
Naples General Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.