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Doctor insights on: Juvederm Or Restylane For Nasolabial Folds

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Best treatment for nasolabial folds/smile lines? Juvederm, Restylane (dermal fillers) or Radiesse? How much do they cost? Which lasts longest & has least side effects?

Best treatment for nasolabial folds/smile lines? Juvederm, Restylane (dermal fillers) or Radiesse? How much do they cost? Which lasts longest & has least side effects?

Combination: The naso-labial folds are formed when the cheek tissues start to shift downward. Often, when the cheeks are lifted, filled and contoured with Radiesse (dermal fillers) and Voluma the naso-labial folds soften. However, the folds can be addressed directly with Juvederm. ...Read more

Dr. Thomas Fiala
244 doctors shared insights

Juvederm (Definition)

Juvederm is the hyaluronic acid dermal filler sold by allergan for the purpose of enhancing the deeper lines formed on the face--most notably, the nasolabial folds. Many other 'off label' uses such as enhancement of the cheeks, tear troughs, lips, etc have also been performed. This substance lasts in most ...Read more


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How effective is juvederm for nasolabial folds?

How effective is juvederm for nasolabial folds?

Very effective: Juvederm is a great product that can be used for many different things. It comes in different formulations for different areas of the face and different aesthetic goals you might be looking for. It does a great job of filling in the nasolabial folds and can give long lasting results from 6months to a 1 year. If you haven't tried it yet, make sure you make an appt with a plastic surgeon. ...Read more

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How long can I expect Restylane (dermal fillers) (expensive) to last when injected for nasolabial folds?

1 year on average: Restylane (dermal fillers) will, typically last for 1 year but may range anywhere from 6-18 months. ...Read more

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Can one syringe of Restylane (dermal fillers) take care of both nasolabial folds (forgot to ask md; $500 per syringe)?

Can one syringe of Restylane (dermal fillers) take care of both nasolabial folds (forgot to ask md; $500 per syringe)?

Restylane (dermal fillers): It depends on your cheeks and how much volume you need. Generally speaking it is around 1-2 syringes for each side. ...Read more

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Why do nasolabial folds start, in the first place? Have seen them in people in their thirties. Also, can facial exercises get rid of them?

Why do nasolabial folds start, in the first place? Have seen them in people in their thirties. Also, can facial exercises get rid of them?

Everyone has them: Everyone has nasolabial folds- they are a part of the face. However as skin ages they may become more visible. There aren't facial exercise to change them. However you are more prone to wrinkles if you are out in the sun without sun protection- like a hat/sunscreen or are a cigarette/cigar smoker. A plastic surgeon or dermatologist can make specific recommendations abt skin care, discuss options. ...Read more

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A filler may correct for nasolabial folds & last a long time. But what happens when the face naturally changes over the year? Any uneven facial areas?

A filler may correct for nasolabial folds & last a long time. But what happens when the face naturally changes over the year? Any uneven facial areas?

Adjust techniques: Fillers may reverse signs of aging but the clock keeps ticking. You can't expect a person who has fillers at age 50 to require the same techniques when they get to see 60. Eventually more fillers or lasers or even surgery may be recommended to accomplished greater corrections with aging. Uneven facial areas may be temporarily caused by fillers but are not typically permanent with resorbable filler ...Read more

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How deep do ur creases have to be to need more than one syringe per nasolabial fold?

How deep do ur creases have to be to need more than one syringe per nasolabial fold?

Depends: After many years of injecting fillers, a physician can tell very accurately how many syringes could be needed in a particular patient. Consult with an experienced facial plastic surgeon in your area for a facial exam. ...Read more

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What do you suggest if my face is firm, I'm only 23, but my nasolabial folds have deppened suddenly?

What do you suggest if my face is firm, I'm only 23, but my nasolabial folds have deppened suddenly?

Fillers: Fillers like Restylane (dermal fillers) and Juvederm can improve the nasolabial folds. They are injected and last about 6-9 months. ...Read more

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Are facial massages beneficial ? Some claim improvement in nasolabial folds , sagging ect? One specific program called "tanaka message ?"

Are facial massages beneficial ? Some claim improvement in nasolabial folds , sagging ect? One specific program called "tanaka message ?"

Yes: Facial massages at least can be beneficial in terms of relaxation which has a wide range of health benefits. Should increase blood flow to facial skin which also may have some benefits. ...Read more

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My skin is darker in the nasolabial fold, I don't have a wrinkle but two darker lines in this area, how can I improve that? I already use glycolic aci

My skin is darker in the nasolabial fold, I don't have a wrinkle but two darker lines in this area, how can I improve that? I already use glycolic aci

Consultation: Please call a skin specialist, a Dermatologist, for an examination, determination as to cause of your concern, and possible treatments. You really need to be examined by an expert. ...Read more

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Are complications more likely after frequent radiesse injections? I know radiesse is generally safe, but i'm wondering if there can be too much of a good thing? I've had 3 radiesse treatments in my cheeks and one in my nasolabial folds over the past six m

Are complications more likely after frequent radiesse injections? I know radiesse is generally safe, but i'm wondering if there can be too much of a good thing? I've had 3 radiesse treatments in my cheeks and one in my nasolabial folds over the past six m

There : There is no evidence that repeated injections of Radiesse (dermal fillers) will make complications more likely. As long as the filler is placed in the proper locations by an experienced individual you should do fine. ...Read more

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My nasolabial folds have gotten so much more prominent. I have gained about 10 pounds, Is that the cause?

Could be: Nasolabial folds are normal, however as we age or with weight loss or even gain they may appear deeper or more prominent. The fold occurs from fixed facial muscle attachments. With changes in facial volume or skin laxity the tissues can slide downward making the fold appear deeper. Lifting the cheek to a heigher position or filling the fold with fat or filler can improve the appearance ...Read more

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What to do if I'm 23 with nasolabial folds that have gotten worse and would like to reduce their appearance.?

What to do if I'm 23 with nasolabial folds that have gotten worse and would like to reduce their appearance.?

Dermal fillers: I don't know why at your age you are developing NL folds at 23 but dermal fillers soften the fold nicely and lasts an average on 8 months ...Read more

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Cosmetic dermatologist #: will others be able to notice that i had a filler placed properly into my nasolabial folds?

Cosmetic dermatologist #: will others be able to notice that i had a filler placed properly into my nasolabial folds?

Filler: in experienced hands you should look natural and refreshed after injections. be sure to have your face evaluated by a board certified facial plastic surgeon. ...Read more

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Can a dermal filler placed into the nasolabial folds change the way a person looks that is not liked by the patient? Be reversed?

Fillers: Some fillers are not permanent and can be dissolved. be sure to have your face evaluated by a board certified facial plastic surgeon. ...Read more

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Losing weight slowly, good diet, lifting weights. Developed nasolabial folds. Will they disappear as my face gets smaller & reach my ideal weight?

Losing weight slowly, good diet, lifting weights. Developed nasolabial folds. Will they disappear as my face gets smaller & reach my ideal weight?

NLF's: This would be difficult to predict. It depends on your age, skin quality , genetics, etc.
Unfortunately many people find their facial appearance "ages" as they lose weight. The benefits of losing weight and getting in shape are tremendous. However, it can be frustrating thinking you may look older. Fillers, collagen stimulators and fat injection can all help with this type of change. ...Read more

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How many syringes of artefill would i need for my nasolabial folds? I have the money for one syringe of artefill, but will that be enough? .

How many syringes of artefill would i need for my nasolabial folds? I have the money for one syringe of artefill, but will that be enough?

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Unfortunately : Unfortunately without an image an accurate answer is not possible. For the average individual, more than one syringe is required.

Be healthy and be well,

james m. Ridgway, md. ...Read more

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What can I do to reduce nasolabial folds from sleeping on my stomach?

What can I do to reduce nasolabial folds from sleeping on my stomach?

Nasolabial folds: Nasolabial folds may be exaggerated in the morning by sleeping on your side or sleeping prone (on your abdomen).- The things that may help to improve these folds facial surgery or a filler like juvederm or radiesse (dermal fillers). If you feel your sleeping position is not ideal, some people have slept with tennis balls sewn to the side of their shirt that they hope not to sleep on. ...Read more

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Lost weight & figure it's a good thing but lost weight on face under eyes & nasolabial folds. Why is this? Look worse now than b4. Depressing. Age 42

Lost weight & figure it's a good thing but lost weight on face under eyes & nasolabial folds. Why is this? Look worse now than b4. Depressing. Age 42

Fat loss in face: This is a common issue for people undergoing weight loss. The fat in the facial regions decreases as do the other areas of the body. Facial fillers like restylane, (dermal fillers) radiesse, and juverderm work fantastically to replace this volume loss. But these last anywhere from 1-2 years and will need to be redone. Fat transfer to face can work as well. Seek advise from board certified plastic surgeon. ...Read more

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Could living by the mountains dehydrate thin skin like the chin and nasolabial folds? This area secretes oil but still dry and dehydrated.

Could living by the mountains dehydrate thin skin like the chin and nasolabial folds? This area secretes oil but still dry and dehydrated.

Maybe seb derm: You may have sebborheic dermatitis, an inflammatory skin condition akin to dandruff. It creates pink to red, greasy flaking scaling patched on the face. See your dermatologist. Until then try a moisturizer and an otc steroid cream. ...Read more

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Does radiesse (dermal fillers) ever migrate? I mean, if i get it in my nasolabial folds, could it move down into my lip? .

Does radiesse (dermal fillers) ever migrate? I mean, if i get it in my nasolabial folds, could it move down into my lip?

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Migration : Migration is a risk of radiesse, (dermal fillers) but it is very rare. Be sure you go to a reputable, certified clinic to have this performed. It has become a very common procedure but must be performed by a certified, trained professional. Discuss the risks and benefits with the provider that you see. ...Read more

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Does radiesse (dermal fillers) ever migrate? I mean, if i get it in my nasolabial folds, could it move down into my lip? .

It : It will not migrate if done properly.
Make sure the doctor doing it has plenty of experience with the product. Radiesse is more technique sensitive then juvederm or restylane (dermal fillers).
It is not indicate for patients over 65, due to the collagen breakdown as we age. Dermal filler will probably migrate then. ...Read more

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Cyclic flush/heat in face with mild redness.nose,forehead,cheeks,chin, nasolabial folds.Doc says not Rosacea yet. Uneven tone,as have Melasma too.Help?

Cyclic flush/heat in face with mild redness.nose,forehead,cheeks,chin, nasolabial folds.Doc says not Rosacea yet. Uneven tone,as have Melasma too.Help?

Rosacea, I think?: Given your description, looks like you have rosacea. You amy want to consider seeing another doctor for a second opinion. You may also have an auto immune condition so for sure you should get another opinion. Melasma is very hard to treat. ...Read more