How to Get Rid Of Those Facial Parentheses (Nasolabial Folds)

One of the most common facial areas that attacks many patients is the development of nasolabial folds, also referred to as lip-chelating, or in a recent television show known as brackets. You can argue that it is folded or groove but it may be closer to the crease. It develops as a cheek tissue from the upper age and begins to relax .... falling on its border with the upper lip. The upper lip is 'still' so that the scratching of the cheek tissue creates a deeper appearance. With time, aging, and anatomy of a person's face, these nasolabial folds extend southward through the mouth and sometimes close to the jaw in extreme cases of skin fatigue. This area is usually treated by injection fillers and in my Practice because many patients want their nasolabial folds treated because they want their lips enlarged.
The most common method for reducing nasolabial folds is by injection filler. Like all injection procedures through injection, the result of nasolabial fold reduction is fast, easy to perform, and results are immediate. I usually do them under local anesthetic block so the treatment is as comfortable as possible. While all injectors will work, I think some are better for this area than others. And what I think is best is the oldest person and has 'subtract' the biggest.
Although all hyaluronic acid fillers such as Restylane or Juvaderm will work, they will not last as long as any filler is injected. Currently Radiesse (ceramic beads) and Artefill (plastic beads) are two partition fillers currently available. Evidence is clear, not surprising given their compact bead components, that they consistently last longer than any hyaluronic acid filler. Although bead injections can cause lumps and distortions, this is not a significant cosmetic issue (not usually seen) in the nasolabial remission area. On the contrary, on this lips things are different. Also, since the bead composition makes the injection thicker and thicker, I think it gives more push as it enters to produce a better cosmetic effect and has to use less injection filler. Due to the length of the filler and the thicker volume, it is my preferred injection approach for nasolabial folds. This injection will give you results of 9 to 12 months.
There are other treatment options for nasolabial folds as well. The best way to get rid of them is a way they almost never do .... cut them off. It immediately removes the fold but also leaves a delicate scar that is only acceptable in older patients. Another common alternative is to use implants. I specifically use Advanta implants for patients who want a permanent volume solution. A very small shot is made at the nose crease and at the lower end of the fold. The implant slipped from one end to the other. This is a procedure that can be done in the office under local anesthesia. An implantation approach to nasolabial folds is a good solution for someone who no longer wants to have an injection, doesn't mind the concept of implants on their face, or has deep nasolabial coverage that will take a large amount of injection filler. My experience with implants in this area is good but it is not the first approach for most patients.

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