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