Concerns

Nasolabial folds

As we get older, skin starts to sag forming creases and folds. This is especially prominent around your nose and mouth. Known as nasolabial folds, these troublesome grooves that run from your nose to mouth corners make your look older and saggier.

Nasolabial folds emerge as your skin loses support, collagen and elasticity. If you’re unhappy with your nasolabial folds, discover why you’re developing them, and what treatments are available.

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Cause & concerns

Facial volume loss

At your face naturally loses volume with age, your skin loses support. This causes the skin above your top lip to recede, with your cheeks sagging over the top.

This results in a crease running from your nostrils, down and outward to your mouth corners: known as nasolabial folds.

Loss of collagen and elasticity

From your early 20’s, collagen and elastin levels in your skin decrease. Poor health and diet, and a lack of skin care accelerate the process.

A lack of collagen and elastin results in weak skin that sags prematurely, contributing to the development of nasolabial folds.

Weight gain

Gaining weight causes an accumulation of cheek fat giving the nasolabial region more prominence. The skin then projects further above the nasolabial folds, making them look worse.

Smoking & sun damage

Smoking and sun damage accelerate the ageing process, causing your nasolabial folds to develop earlier and faster.

Treatment Options

Liquid facelift

A liquid facelift restore facial volume, reducing the severity of nasolabial folds.

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Nasolabial fold filler

Nasolabial fold filler is a great option to instantly improve them.

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Collagen stimulation

Collagen stimulating injections restore volume, and increase skin collagen.

This dual action improves the appearance of nasolabial folds, and stops them getting worse.

View Treatment

Thread lifting

Thread lifting repositions sagging skin, reducing nasolabial folds with natural results.

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Before & after

Side-by-side comparison of an older woman before and after a cosmetic procedure. The left image shows her with a neutral expression, and the right image shows her smiling slightly. She has shoulder-length blonde hair and is wearing a peach blouse.
Side-by-side images of a womans face before and after a cosmetic procedure. The left image shows her with smooth skin, and the right image shows her with slightly reddish skin. Both images have areas of the eyes obscured.
Side-by-side comparison of a persons face showing lips before and after a cosmetic procedure. The left shows a natural appearance, while the right displays fuller, more defined lips. Skin tone and other facial features remain consistent.

Sensitive content

Before and after treatment for nasolabial folds using a multi-modality approach.

Results from a bespoke treatment for nasolabial folds.

Before and after treatment for nasolabial folds.

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    Nasolabial folds are the creases or grooves that extend down and outwards from beside your nose to your mouth corners.

    While some people have nasolabial folds from a young age, they are also a sign of ageing, with most people developing them as they get older.

    There are 5 different types of nasolabial folds.

    1. Skin type: nasolabial folds primarily caused by sagging skin.
    2. Fat type: when the nasolabial fat compartment is enlarged due to excess facial fat.
    3. Muscular type: nasolabial folds caused by excess muscle tension in your mid-face.
    4. Bone recession type: where upper jaw bone is lost, causing the skin below the fold to sit further back.
    5. Hybrid type nasolabial folds: caused by a combination of the other 4 nasolabial fold types.

    Identifying your nasolabial fold type is important to ensure you receive the correct treatment.

    Nasolabial folds occur when the skin and soft tissue of your cheeks hangs over the skin of your upper white lip.

    They can result from both genetics and ageing, and there are a few different factors that cause them.

    Sagging skin leads to nasolabial folds as the cheeks move down and collapse over the white upper lip.

    A loss of upper jaw bone results in the white lip moving back, causing the folds to form.

    Strong mid face muscles cause the upper white lip to move upwards, slipping underneath the cheek, creating nasolabial folds.

    Excess cheek fat results in nasolabial folds as the tissue projects further forward that your white upper lip.

    While side sleeping alone doesn’t cause nasolabial folds, it can make them worse, and form nasolabial creases in the skin.

    When side sleeping, the skin of your cheek is often compressed, causing it to fold. The nasolabial region is a ‘give-point’ of the face, and this is a common area the skin folds when bunched.

    Over time, repetitive folding causes these grooves and creases to become permanent in a similar way other wrinkles form.

    There are a number of treatments available for nasolabial folds, and often a combination approach is best.

    Facelifting surgery remains a highly effective option for nasolabial folds caused by sagging skin, but with high cost, risk, pain, downtime, and scarring.

    Non-surgically, the combination of dermal fillers, collagen stimulating injections and thread lifting is a highly effective nasolabial fold treatment option.

    Maintaining a healthy weight can also remove nasolabial folds that are caused by excess facial fat.

    The simplest treatment for nasolabial folds are dermal filler injections. These are placed carefully into the fold itself, reducing how deep it is.

    However, dermal fillers alone cannot fully remove nasolabial folds, as they don’t treat the actual causes.

    Weight loss can improve nasolabial folds that are of the ‘excess fat’ type.

    People with excess facial fat develop nasolabial folds as their mid face projects further forward than their upper white lip.

    Losing facial fat reduces this projection, softening the nasolabial folds.

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