Nasolabial folds

The cause is almost never in the fold

The fold marks the boundary between the cheek and the upper lip. It deepens when the cheek fat compartment loses volume and descends: the crease does not grow, the tissue above it falls onto it.

Filling the fold directly adds product exactly where there is already excess tissue. The typical result is a slightly less marked fold and a heavier mid-face, which after a few months looks worse than before.

Hence the usual order: first restore support in the cheek, then reassess what is left of the fold. Often what is left is little, and it resolves with very little product — or none.

A high vascular risk area

The facial artery and its angular branch run through the fold. Along with the tear trough, the nose and the glabella, it is one of the locations where the vascular complications described with fillers concentrate.

What that means in practice: hyaluronic acid — reversible — and not biostimulators; hyaluronidase available in the clinic that same day; cannula technique where the case allows; and calling the physician immediately in the event of disproportionate pain, blanching or purplish mottling of the skin.

What it costs

Filler is not quoted by «area» but by product and volume, and for a reason worth understanding before you compare: two people with the same complaint can need 1 ml and 4 ml. A closed per-area price that does not say how many millilitres it includes cannot be compared with anything — the same problem as botox units.

How it works here:

• The consultation is free and is not charged in advance. You are assessed, told which product, how much volume and the total, and you decide then.
• The quote is given in writing with the brand, the batch number and the millilitres before anything is applied. That document is what makes comparison possible.
• You pay for what is applied. If your case needs less volume than expected, you pay less.

Payment: cash, debit card and credit card, with the option to split into instalments at the terminal under your own bank plan.

Frequently asked questions