1 Syringe of Restylane in Nasolabial Folds - Why Are Lines Still There?

You may not be undercorrected or you may be. Only an examination can tell. Photographs are not enough to discern your condition satisfactorily. If the lines are deep and broad, then more filler may help, but if they are thin creases, you may risk seeing lumpy filler if more is done. You may be right about needing volume in the cheeks as this is what we've learned in the last decade. Volume depletion of fat makes your cheek lose the support it once had and then smile folds deepen as the cheek descends. Jowls also start to form. Perlane, the deeper component of Restylane, Juvederm Ultra Plus and Radiesse, Fat  Injections and Sculptra may help build the deeper tissues of the cheek. These are off labe uses for some of the fillers so see an experienced physician who performs panfacial augmentation (this can be called many different things).

Hi,

Without seeing your face, it is difficult to answer your question.  Perlane, Radiesse, and Juvederm Ultra Plus are thicker fillers that are good for restoring volume to the face and giving a bit of a lift.  For global overall volume filling of the face I prefer Sculptra.  The skill and the experience of your injecting physician does play a role in your ultimate outcome.  Choose your injecting physician most carefully.  Good luck and be well.

Dr. P

I always tell patients, the line or wrinkle will not be totally gone, just softened. Results from injectables should be somewhat subtle and not at all close to results from surgery. Without seeing you it is hard to say if more filler is indicated. If the folds were deep, more product is necessary, but you also don't want it overdone so it looks strange and unnatural. Building volume, such as the cheek certainly can require a lot more product. If you went to a board certified plastic surgeon, I am sure it was done correctly. Perlane may be slightly more bulky, but I would anticipate a similar overall result with all of the hyaluronic acid fillers. Before and after photos are a good way to assess overall results and I would go by the recommendations of your doctor whether or not additional syringes will give you a result you are happy with.