Fillers Don't Seem to Work for my Nasal Labial Lines, What Are the Options?

You may benefit from "plumping" the area with fat or even better a dermal-fat graft or SMAS graft harvested during another procedure. Those do not resorb and after a short period when the area feels lumpy and hard, they assume a nice and soft contour and cancer the nasolabial folds.

Fillers are an ideal treatment for NLF and I would suggest you seek another injector if you haven't had luck with your treatments thus far.

Fat Grafting may be your best option to promote a lasting result, this procedure consists of removing your own fat to re-implant it where it's needed. Without a photo provided you would need an in-person examination, I suggest seeking an evaluation by a reputable board certified physician who can achieve the result you desire.

Thank you for your question.  There can be several reasons why your filler failed you in the NL lines.  You may degrade the filler substance quickly, the injections may have been too deep or not enough, etc.  It is difficult to know what the underlying problem is.  There are other fillers that are made of different substances and produced in different ways (more cross-linking to prevent quick degradation, for example).  You may want to try another injector.  Finally, structural fat grafting is a nice way to "plump" these areas--it is your own fat that is used and transferred to the NL folds, that adds volume and is essentially permanent. 

Best of luck.

 

Pictures would be very helpful to give you the best advice.  Is the issue with your nasalabial area really only a line, or is there a fold as well?  If it is only a line, sometimes fillers don't work well because the filler is injected too deeply to affect the line.  Injections to treat a line must be injected superficially to have any effect.  A filler called Belotero works well for this issue, since it can be injected superficially.  Some of the other fillers need to be injected more deeply, so they would not be useful to treat a line.  If you actually have a fold, it's possible that the filler could be placed into an adjacent location to improve the fold, without placing any of the filler under the fold at all.  Without pictures, I can't tell what your best option might be.  In general, Botox would not work well on nasolabial lines.  

Could be the filler chosen, could be the technique used, or could be that filler cannot complete with the level of depth or heaviness you have.  Often times with very deep folds, layering of filler such as Juvederm + Radiesse can solve this problem.  Some just require more filler than is reasonable for an office based procedure and we switch to a conversation about fat transfer as the best bet for high volume filling.  Visit with a local specialist in your area to discuss your options.

Before you blame the filler for "not working" please remember that filler injections are an art as much as a science. It is especially important to remember that the experience and artistic ability of your injecting physician is the most critical part to your achieving a beautiful, natural result. So if the filler "doesn't work" it may not be the fault of the filler.