NATURAL. SUBTLE. YOU.
We soften pronounced nasolabial folds to help your face look more relaxed and refreshed.
Nasolabial folds run from the sides of the nose towards the corners of the mouth and are a natural part of facial anatomy. As they deepen, the shadows they create can make the face look tired or strained. Carefully placed hyaluronic acid can soften pronounced hollows while preserving the natural transition from the cheek to the mouth area and your facial expression.
Before treatment, we assess why the nasolabial fold appears particularly pronounced. Skin quality, changes in cheek volume and the soft tissues in the area can all contribute.
Depending on our assessment, we may place hyaluronic acid directly into suitable parts of the fold or also address genuine volume loss in the midface. Cheek filler is not automatically necessary and does not always replace direct treatment of the fold.
Our aim is to soften the contour, not to erase the natural line that appears when you smile. Too much product beside the mouth can make the area look heavy or puffy, so we use carefully limited amounts.
Treatment may be suitable if the folds between the nose and mouth are clearly visible even at rest and you would like the transition to look softer.
We assess whether targeted volume replacement is appropriate or whether reduced skin elasticity and sagging tissue are the main causes. If there is more significant laxity, an additional or alternative treatment may be more suitable. Existing filler is also taken into account to avoid unnecessary accumulation of material.
Serious complications are rare. Important blood vessels run through the nasolabial area, and a vascular complication can cause permanent tissue damage or visual impairment. We discuss these risks with you personally.
Unusual or increasing pain, pale or mottled skin, or changes in vision require immediate medical assessment. Do not wait for a follow-up appointment or a reply from the clinic.
If an unexpected change occurs, we arrange the necessary care and support you through the next steps.
We assess the fold together with the cheek and the movement of the mouth area.
We assess the shape and depth of the nasolabial folds at rest and while smiling. We distinguish between a superficial etched line and a deeper tissue fold. Previous fillers, relevant medical conditions and current dental problems are considered in the plan. We then discuss what degree of improvement is realistic.
We document the area before treatment and identify which sections are to be treated. After cleansing and disinfecting the skin, we discuss local anaesthetic if needed.
The hyaluronic acid gel is placed gradually using an appropriate needle or cannula. Product choice and placement depend on the depth of the fold and the tissue structure. We monitor the skin response, circulation and the transition towards the cheek. We assess and treat each side individually rather than automatically using the same amount on both sides.
We assess how the correction looks both at rest and during movement. You receive advice about swelling, care and possible warning signs. Follow-up is planned according to your recovery, often at around two weeks. Only then do we decide whether any further correction would be appropriate.
Tell us about any medical conditions, allergies, medications and previous filler treatments. Please also mention herpes, inflammation around the mouth or nose, and any current or planned dental treatment. We postpone treatment if there is an acute infection or inflamed skin. Do not stop prescribed medication without medical advice.
At first, avoid vigorous rubbing, facial massage and strong pressure on the treated areas. Do not try to flatten any lumps you can feel by pressing on them yourself. We will give you personalised advice on skincare, exercise, sauna use and significant heat exposure. Mild swelling or tenderness can occur initially. Unusual pain or abnormal skin discolouration requires immediate medical assessment.
The fold often looks softer immediately after treatment. Early swelling can make the correction appear more pronounced at first. We reassess the result once swelling has settled, often after around two weeks. Longevity varies from person to person. Your body breaks down hyaluronic acid at its own rate, while changes in tissue, facial movement and body weight can also affect the appearance. Lifestyle factors influence skin quality, and the product, amount and placement also play a role. We recommend a top-up only after reassessing the treated area. A natural fold that remains visible does not automatically mean that more filler is needed.
Download the key preparation and aftercare guidance as a PDF.
Before treatment, we discuss whether treating the fold directly is sufficient or whether other areas should also be considered.
Costs may vary depending on the product, amount required and agreed combination of treatments. We confirm the total price before treatment begins.
Answers to your questions about nasolabial folds, treatment and aftercare.
We place hyaluronic acid in suitable areas to soften the hollow and its shadow. Whether the fold itself is treated directly or cheek volume loss should also be addressed is decided after assessment.
The appointment takes around 30–60 minutes. A change is often visible immediately. Once swelling has settled, usually after about two weeks, the true degree of correction can be assessed more accurately.
The injection may be briefly uncomfortable; local anaesthetic can be used if needed. Swelling, bruising or tenderness may follow. How long these effects last varies, and we cannot guarantee that they will settle within one to three days.
Treatment may be suitable when pronounced nasolabial folds are bothersome even at rest and targeted volume replacement is appropriate. Afterwards, follow our care advice and avoid strong pressure and massage at first.
We remain available if you have questions about your recovery. Unusual pain, skin discolouration or changes in vision require immediate medical assessment.
Swelling, bruising and tenderness can last for several days and occasionally longer. The area beside the mouth may initially look a little fuller. Allow enough time before important events.
Mild local reactions usually settle on their own. Less commonly, persistent swelling, nodules, infection or delayed inflammatory reactions can occur. Visible unevenness or overcorrection may also require reassessment. If changes persist or worsen, contact us. Please do not firmly massage the treated areas yourself.
If there is also volume loss in the cheeks, coordinated treatment of the midface may be appropriate. We then reassess how much direct correction of the nasolabial fold is still needed. A general 'lifting effect' from cheek filler cannot be guaranteed. If there are also fine etched skin lines, a suitable treatment to improve the skin surface may be helpful. The appropriate method and timing depend on your skin type and our assessment. Botulinum toxin is not a standard treatment for nasolabial folds. The surrounding muscles are important for smiling and upper-lip movement, so any treatment of these muscles requires a separate, carefully considered clinical reason.
Not every deep nasolabial fold needs as much filler as possible. What matters is why the fold has developed and which correction will genuinely improve the transition.
We discuss the change you would like and assess your nasolabial folds at rest and while smiling. We explain whether direct treatment is appropriate and what degree of improvement you can realistically expect.
A 30-minute consultation costs €75.
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Specialist in anaesthesiology with a focus on aesthetic medicine and pain management.
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Specialist in ophthalmology with a focus on facial contouring and aesthetic eyelid treatments.
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Head of medical cosmetics and device-based aesthetic treatments, with a focus on skin analysis and personalised skincare.
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