Nasolabial Folds Treatment Guide

Treatment Guide: Nasolabial Folds


Nasolabial folds run from either side of the nose to the corners of the mouth. There are a number of factors which make us more likely to develop prominant nasolabial folds during our life time. 

  • Age
  • Sun exposure
  • Smoking
  • Rapid weight loss

These skin folds can be deep in nature and can be treated exceptionally well using dermal filler. The filler of choice would be one that is hyaluronic acid based and follwoing injection, results last up to 12-months.

In the unlikely event of an adverse reaction, dermal filler can be dissolved using a special enzyme called Hyaluronidase. This is a prescription only agent and so it is important you seek a medically qualified practitioner with the ability to prescribe. 


Dermal Fillers

There are different types of dermal fillers on the market specially designed for different areas of the face. For nasolabial folds, a hyaluronic acid based filler is required. Hyaluronic acid is a sugar based protein which is present in our skin which gives it its youthful volume. As it is being injected beneath the skin, it acts like a sponge to draw water molecules to it – adding volume to the area. Carefully placing filler along a fold helps mask it. Typically 1ml of dermal filler should be sufficient to treat both sides.

With nasolabial folds, filler can be injected using a cannula (a blunt needle) or a smaller sharp needle. Both techniques provide equally as effective results and it is largely down to practitioner preference which technique gets used. With a cannula, you would require less injection points which means less redness and bruising. 


What does the procedure involve?

After applying some topical numbing cream over the area, a needle is entered from the corner of the mouth pointing towards the nose – along the nasolabial fold. Dermal filler is then injected as the needle is being withdrawn. 

Once the dermal filler has been placed, it is gently massaged to ensure even distribution. The procedure takes around 10-15mins to perform and results are instant.

Expect the finished look to last up to 12-months on average. The filler can also be dissolved using a special prescription only enzyme known as Hyaluronidase which breaks hyaluronic acid down in 24-hours. You can use this if you are not happy with your results or any adverse reactions occur. 




Recovery after your treatment is immediate. You can genuinely go back to work the same day. 

You might experience the following, and if present, here are some great tips in managing them. 

  • Bruising – This can sometimes happen, especially if you are on blood thinning medication. To help, you can apply some Arnica cream.
  • Mild pain – Not common but if experienced, Paracetamol is your go to. Do not go over the recommended dose. If Paracetamol is not helping, get in touch with your practitioner for a review as there might be another cause for the pain that needs addressing. 
  • Swelling – After any application of dermal filler, some swelling is expected. An ice pack can help but take care in the first 24 hours where it is recommended you do not touch the site of injection. 

Most of these symptoms resolve after 3-5 days following treatment. If they last any longer, we recommend you contact your practitioner. 

Please note, if you develop any blue/grey discolouring of your skin, severe pain/swelling, any skin changes or changes in vision in the minutes/hours after treatment, contact your practitioner urgently to seek some medical advice.

We created some great aftercare literature for you, so if you want to know more, simply create an account and we will email you the details. 

The serious stuff

Following your treatment, it is important to be aware of certain signs and symptoms which may need urgent medical attention. These rarely occur but we want you to be well informed. If these arise, it is vital you contact your medically qualified practitioner for advice. 

  • Infection – If you develop a fever, redness of the skin, warmth of the skin or any itchiness around the area injected – it could mean you have an infection. This is easily treated with a course  of oral antibiotics. If you have a history of cold sores, injectable treatment might cause a outbreak. As a preventative measure, your practitioner will prescribe you a course of oral anti-viral medication before your treatment. 
  • Allergic Reaction – In the minutes/hours following treatment, if you develop severe swelling, itchiness, puffiness around the eyes, any difficulty in breathing – this could indicate a severe allergic reaction known as anaphylaxis. If these symptoms occur, it is important to seek urgent medical attention through A&E. You will also need your dermal filler to be dissolved using Hyaluronidase. 
  • Vascular Occlusion – This occurs if dermal filler accidentally enters a blood vessel. Although rare, symptoms include grey/blue discolouration of the skin and severe pain, If present, urgently contact your practitioner as the only way to treat this is by dissolving the filler. In even rarer circumstances, the occlusion can affect your vision. If you notice any changes, it is vital you go to your nearest eye hospital and also contact your practitioner to meet you there. 


Dermal fillers are widely used in the field of aesthetics however there are some contraindications which if present, would mean it is simply unsafe for you to have the procedure. At Fvce, we never compromise on safety, and so if you meet any of the following criterion, we would not allow you to book through us. There is some grey area with every case, and we more than welcome you to contact our dedicated medical team to get some free advice on whether you would be eligible for treatment.
  • Active skin infection on the face/planned injection area eg Cellulitis
  • Known allergy/hypersensitivity to hyaluronic acid based dermal filler
  • Known allergy/hypersensitivity to lidocaine (local anaesthetic agent)
  • Currently pregnant 
  • Previous history of glabellar skin necrosis (previous vascular occlusion around the forehead following dermal filler injection)

Email us on [email protected] for any queries regarding contraindications to treatment.

How much are we talking?

Nasolabial folds start from £150 and can go anywhere up to £450 depending on the practitioner and the brand of product used. 

Let me fvce some professionals

We only on-board medically qualified aesthetic practitioners who have been vetted by us. Simply click the link below to find a practitioner in your area and book online. After booking, you can communicate with them through e-consultations on the platform to address any concerns you might have.

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