Correction of nasolabial folds – which fillers are best suited

What are fillers

Filler is an injectable filler that is injected subcutaneously into the area of ​​wrinkles or to increase tissue volume (cheekbones, lips, etc.). Fillers are either synthetic or biocompatible. The main component of most of the most commonly used fillers is stabilized hyaluronic acid (animal or non-animal origin).

The result is the elimination of wrinkles and increased skin elasticity.

Many drugs contain an anesthetic, so their use does not cause pain, but discomfort may occur.

Correction is indicated from 30-35 years of age, when the skin condition is not yet aggravated by hormonal changes, but skin care cream and face masks no longer help. It is during this age period that the maximum rejuvenation effect can be achieved with the help of fillers.

After 50 years, such a procedure does not work as well as we would like; resorting to injections loses its effectiveness due to menopause. After 60 years, it is better to choose surgical techniques.

What are nasolabial folds and why do they occur?

These are quite deep wrinkles that extend to the chin from the wings of the nose through the cheeks. A group of muscles passing through various zones is responsible for their formation.

Over time, expression lines become deeper, and the decrease in hyaluronic acid turns them into real furrows. The impact of external and internal factors negatively affects the condition of the skin. In addition to natural causes, folds near the wings of the nose can appear due to improper muscle function.

When muscle tone is reduced due to lymph stagnation, the epidermis begins to gradually descend. It even becomes visually noticeable that the cheeks are going down. Because of this distortion, wrinkles appear that run from the nose to the lips.

If facial wrinkles are shortened, then they are constantly in a state of spasm. Because of this, the skin begins to gradually lose its elasticity. Nasolabial folds can form due to the characteristics of the body. The person reacts sharply to diseases of internal organs, poor ecology and poor lifestyle. In addition, stress, strict diets, alcohol consumption and smoking have a negative impact on the condition of the skin.

The essence of the technique

With age, the skin loses its elasticity, it sags, and wrinkles deepen. The only way to remove defects is correction with fillers. They can also be used to enlarge lips and cheekbones.

Other means cannot completely replace them, because even skin tightening cannot cope with the lack of soft tissue.

The advantages of injections: safety, quick recovery, no effect on facial muscles, which means maintaining lively facial expressions.

Hyaluronic acid, the main substance in the composition, is a natural moisturizer that is produced in the body. With age, the content decreases, and the network of collagen and elastin fibers begins to sag. Fillers differ in HA concentration and degree of viscosity.

The result of the injection is visible after the first time due to the instant thickening of the dermis: nasolabial wrinkles disappear, the skin is smoothed and moisturized, and becomes radiant.

Filling soft tissues allows you to target the problem area. The effect lasts for several months, often several injections are enough for a year (this depends on individual characteristics).

Hyaluronic gels are gently introduced and distributed well under the skin.

High-quality ones dissolve on their own, with practically no side effects.

Therefore, cosmetologists strongly recommend choosing only natural-based products that break down through biodegradation and are absorbed by the body without consequences.

Application in cosmetology

Hyaluronic acid is a polymer present in the connective tissue of humans and animals. Its saturation of the skin largely determines its moisture, firmness and elasticity.

Hyaluronic acid is often used in cosmetology. It is often injected into the nasolabial folds. In some people their severity is genetic, but they can also be eliminated. Previously, this was only possible during plastic surgery, but now there are many different techniques, including those using this polymer.

All hyaluronic acid preparations used in cosmetology can be divided into solutions based on unstabilized and stabilized hyaluronic acid. Preparations of the first group with different contents of the active substance are used for cosmetic procedures such as mesotherapy and biorevitalization. The latter are used for bioreinforcement and in contour plastics. It all depends on your skin type and the severity of the problem.

What drugs are used

The best fillers for nasolabial folds are considered to be Korean, American, French and Italian. Rating of the most popular drugs:

• Overage Deep - the Italian manufacturer paid special attention to the soft distribution of filler in the skin without additional massage. A special feature is the long-lasting effect up to 12 months.
• Patch filler from Librederm is a Korean invention that is suitable for independent use at home. Each patch has 130 microneedles of hyaluronic acid, which dissolves within 3-4 hours. The optimal remedy for early signs of aging.
• Regines is a plastic absorbable filler from a South Korean brand. Contains an anesthetic. Does not cause allergies.
• Juvederm Ultra 3 and 4 - from an American manufacturer. Fillers have optimal viscosity to fill wrinkles of varying depths in mobile areas of the face. Hyaluronic acid goes through many stages of purification and is not rejected by the body. Contains lidocaine.
• Revofil Ultra - made in South Korea, recommended for people over 35 years old. Contains antioxidants and peptides, the effect lasts up to 12 months.
• Stylage Lubaratoire Vivacy - the line includes preparations labeled S, M, L for wrinkles of various depths. The gel does not clump. Contains lidocaine and antioxidants.

Stabilized acid methods

Contour plastic surgery is an aesthetic medicine technique that involves filling deflections and defects in the skin texture with special fillers. Among their many types, gel-like solutions of stabilized hyaluronic acid are especially popular. It can remain in the skin for a long time and is much less allergenic compared to other types of fillers. Contour plastic surgery is considered the most common correction method. Filling nasolabial folds with hyaluronic acid has received very positive reviews, since you can achieve the desired result quickly and it lasts for a long time.

Bioreinforcement is a slightly different technique, which consists of introducing hyaluronic acid gel in the form of an intradermal mesh. The cosmetologist, using a special technique for introducing the drug, forms a frame in the tissues, along the lines of which, as a result, their own collagen fibers are formed. This technique is used much less frequently than contour plastic surgery. It is mainly used to reinforce the cheeks as the face ages. A concomitant effect will be a reduction in the severity of folds around the lips and nose.

When using such techniques, the result will be faster and more pronounced. Stabilized hyaluronic acid disintegrates in about 2-4 months, and during this time its own fibers are produced, which prolong the effect of the procedure up to 1.5 years.

However, this technique has some disadvantages, since “hyaluronic acid” is treated with certain substances during the manufacturing process, which increase the risk of developing an allergy to the drug used. In addition, it is not always compatible with different skin types, so the results of the procedure may vary slightly. Contour plastic surgery and bioreinforcement are considered quite complex to perform, so a highly qualified cosmetologist is required.

Cost of drugs, where to buy

Average price for drugs per 1 ml (1 syringe) in Russian rubles:

You can buy drugs in specialized cosmetic stores, beauty salons and clinics. The price in online stores is often lower.

Technique of the procedure and preliminary preparation for it

The correct start of the procedure is a personal consultation with a cosmetologist, during which the problem area is examined, the patient’s skin is examined, defects, individual characteristics and difficulties are identified. The specialist must select the most suitable filler and determine the presence of contraindications or restrictions.

Procedure steps:

1. Preparation. The injection is performed by a professional cosmetologist in a treatment room. The patient sits on a special couch or chair equipped with a headrest. Facial skin should be absolutely clean and dry.
2. Anesthesia. The manipulation is painful, so the specialist first disinfects the skin and then treats it with a liquid anesthetic. Anesthetic injections are used extremely rarely, at the client’s personal request, in case of a high sensitivity threshold.
3. Introduction of filler. Opening of the drug package and blister with syringes must occur in the presence of the client. The doctor injects the medicine subcutaneously, deeply and slowly. The entire area of ​​the desired correction is chipped.
4. Completion. The specialist re-treats all areas where the drug is administered with an antiseptic and gives a few minutes for rest and recovery. A cold compress is applied to the face.
5. Recommendations. After the procedure, you should sleep on your back for several weeks, avoid direct contact with the sun, avoid visiting the pool, gym, sauna or steam bath, and do not drink alcohol. To prevent the formation of medicinal lumps under the skin, it is recommended to carry out self- or professional massage of the area where the injections were made once a week.

Contraindications

You should treat injections with special caution - you need to consult a cosmetologist in advance about diseases and individual features of the facial structure, and find out contraindications to injection techniques.
Health restrictions include:

• Allergy to the components of the drug;
• Autoimmune diseases;
• Oncology;
• Pregnancy and lactation;
• Infections and inflammations;
• Injuries and skin diseases in the treatment area;
• Blood clotting disorder;
• Rosacea.

Also, prohibitions on the use of fillers include the presence of jowls, swelling and ptosis above degree 2, excessively thin skin, and a tendency to form scars.

Hyaluronic fillers act to fill the tissues, so they make the already drooping parts of the face heavier, increasing the swelling of these areas.

The consequences can be very serious, and complications will contribute to the aggravation of problems, even asymmetry of features is possible.

Most often, anti-wrinkle beauty injections are suitable for thin faces and finely wrinkled types of aging.

Progress of introduction

The first stage is a detailed examination, determining the skin type. After this, the cosmetologist selects the type of drug, depending on the composition and density, and calculates the required volume. One injection requires 0.5–2 ml of filler.

The second stage is antiseptic treatment of the skin with a disinfectant composition and application of an anesthetic. For pain relief, a special cream is used, which is applied to the area of ​​the nasolabial triangle and left for 30 minutes.

The third stage is introduction. The needle is inserted under the skin along the trajectory of the nasolabial line, to the required depth depending on the severity of the wrinkle. Then the drug is injected, gradually removing the needle. In this way, the resulting void along the entire length of the fold is filled. Process one side first, then the other.

The final stage is the distribution of the gel using light massage movements.

Precautionary measures

Only a cosmetologist with a medical education can give an injection, because it is important to know the places where muscles are attached to the skin, the location of blood vessels and nerve clusters.

The injection technique depends on the correction area and the density of the product. Only adherence to technology and knowledge of the anatomical structure prevent complications.

Drugs must have certificates and be stored according to instructions, taking into account expiration dates. The package is opened in front of the patient.

Even after a correctly performed procedure, improper facial care in the next 7-10 days can lead to filler displacement, the development of side effects and accelerated destruction of hyaluronic acid molecules.

Types of injection

There are several procedures for introducing hyaluronic acid into the nasolabial folds for the face. These should include the following:

Biorevitalization involves a course of injections into the surface layers of the epidermis in order to moisturize it. Mesotherapy is used to nourish the skin. To do this, a special substance is injected under the skin along with hyaluronic acid, which contains vitamins and herbal components.

Contour plastic surgery is a one-time procedure. It is aimed at eliminating facial sagging and deep wrinkles. In addition, this procedure helps to correct the shape of the cheekbones, cheeks and chin.

Side effects

Possible consequences include:

• swelling;
• bruises;
• changes in skin color at injection sites;
• allergic reactions in case of increased individual sensitivity.

Complications usually subside within 7-10 days. Bruises appear most often in areas with an active blood supply.

If the procedure is violated or low-quality products are used, the harm can be extremely serious: infectious diseases and inflammation, Quincke's edema, formation of compactions, scars, tissue necrosis, embolism, gel migration, etc.

• If a lump has formed at the injection site, you should seek advice from a specialist and do not try to distribute the drug yourself. It can also appear if the filler is installed incorrectly, due to inflammatory diseases in the body and if the rules of skin care are not followed. In this case, the doctor prescribes physiotherapy and ultrasound.
• If the filler was installed too superficially, a blue stripe appears along the entire line of the nasolabial fold. This phenomenon disappears as the gel is absorbed.
• When correcting the lips, a hard cushion periodically forms above the upper lip. In this case, the introduction of an enzyme that breaks down hyaluronic acid is required.

If there are serious side effects, it is necessary to consult a cosmetologist who will prescribe further care and procedures.

How does the correction happen?

To eliminate nasolabial folds with hyaluronic acid, fillers such as Surdigerm, Restylane, and Juvederm are used. They have passed all clinical tests and are completely safe.

Thanks to the viscous consistency of the gel, the subcutaneous area is uniformly filled, it allows you to even out wrinkles, providing the effect of a kind of frame that supports the skin and prevents it from sagging.

Initially, the specialist must perform pain relief, lubricating the skin with an anesthetic. The filler is introduced using a small needle with point injections as close to each other as possible. At the same time, the cosmetologist performs a light massage, evenly distributing the gel.

Description of the procedure

The correction takes about 30-60 minutes and does not require special rehabilitation afterwards. The volume of filler depends on the condition of the skin, but a standard 1 ml syringe is sufficient to fill the nasolabial fold.

Preparation

Preparation begins with cleansing the facial skin of makeup and impurities.
The drug is removed from the refrigerator 20 minutes before the injection. The cosmetologist may first recommend light peeling. Before administration, the skin is treated with a disinfectant and, if necessary, an anesthetic cream.

The product is checked for expiration date and opened in front of the patient.

Administration technique

The filler is injected with a needle along the wrinkle line into the nasolabial folds in one long injection, which passes under the skin so as to reach the end of the fold.
It is possible to carry out a light massage in the injection area by the doctor at the end of the procedure to evenly distribute the drug, and it is also recommended to apply a compress to relieve swelling.

Duration of action

The duration of the effect depends on the individual characteristics of the face and the quality of the drug. On average, the duration of action is 6-10 months, but can increase up to a year for certain fillers with a denser gel.

The result lasts longer with repeated injections throughout the year if correction is required.

Nelly Mezerya (Cosmetologist):

It should be noted that before correction with fillers, it is recommended to undergo a course of mesotherapy or biorevitalization to improve the overall condition of the skin and moisturize it. Then the biodegradation period of the filler increases and you will be able to enjoy the results of the procedure longer.

What is hyaluronic acid and how does it work?

It is a naturally occurring polysaccharide. Being in the intercellular space of the skin, hyaluronic acid helps retain moisture. This prevents the formation of wrinkles and folds, maintains healthy color and maintains skin tone. With age, the production of hyaluron decreases, which entails age-related changes, namely: dryness, sagging, wrinkles.

Today, hyaluronic acid is produced from wheat substrate using bacteria. The purified substance is widely used in cosmetology. Injections of hyaluronic acid into the nasolabial folds have proven their effectiveness. For this purpose, a special biogel is used, which is called filler.

After introducing the substance into the corrected area, it spreads throughout it and fills the voids. In addition, the molecules attract and hold water particles. The skin in the area of ​​the nasolabial folds is smoothed and tightened. By adjusting the concentration and amount of biogel, it is possible to quickly and effectively eliminate even the deepest furrows.

In addition, injections help moisturize the skin and improve complexion. After the procedure, the specialist performs a light massage to distribute the gel throughout the entire correction area. After some time, hyaluronic acid is broken down and eliminated. A highly purified synthetic substance of artificial origin does not cause any harm to the body, as it is completely compatible with it. The exception is individual intolerance to the components of the biogel. A special allergy test helps determine it.

After the breakdown and elimination of hyaluronic acid, its effect does not stop. To maintain the desired result, you need to periodically give maintenance injections. The most important thing is not to overdo it, since with a constant supply of hyaluron in the form of injections, the body stops producing it on its own.

Photos before and after

Advantages and disadvantages

Healing period

Rehabilitation does not take much time. The swelling subsides within 2-3 days, but final healing and distribution of the filler can take up to 10-14 days.

During this period, skin care should be as careful as possible; you should first consult a cosmetologist.

Before introducing fillers into the nasolabial folds, traumatic cosmetic procedures, including medium and deep peels, cannot be performed. Otherwise, you can use standard care and cosmetics.

Recommendations after the procedure:

• on the first day you cannot wear makeup or even use moisturizer; you are allowed to wash your face only the next day;
• During the week, active sports, visiting the sauna, bathhouse are prohibited, sunbathing, and opening your mouth wide are prohibited;
• if there is swelling, do not try to remove it with massage or compresses - in this case, you can displace the gel;
• in the next month, facial massage is prohibited without special indications from a specialist;
• avoid deep peelings and warming masks;
• When herpes appears, treatment is carried out with standard ointments.

If you take into account all the tips, the effect will be maximum and there will be no complications.

Possible consequences

Like any intervention, “beauty injections” can lead to undesirable consequences. You need to be prepared for the following unpleasant surprises:

• edema and hematomas. May occur due to injury to the smallest capillaries and vessels with a needle;
• painful sensations. Within a few days after the procedure, there is a period of adaptation of the body to the substance;
• formation of inflammation or scar. This happens if the procedure is carried out by a non-professional or in conditions that do not meet sanitary and hygienic standards;
• the appearance of papules (nodules), granulomas, protrusion of filler if the substance was injected into the upper layers of the skin in large portions;
• vascular embolism. If the drug is injected too deeply, it can cause compression of the blood vessels and, as a result, necrosis of adjacent tissues. This condition requires immediate qualified assistance;
• development of fungal, bacterial infections and exacerbation of latent ones, for example, herpes, or the appearance of warts and papillomas;
• increased pigmentation;
• allergic reactions, hypersensitivity.

Filler protrusion, inflammation and hematoma are an indicator of incorrect injection technique

There is no need to worry if swelling, redness and papules persist on the first day - this is a natural reaction of the body to the impact, but subsequent deterioration of the condition will be a reason to contact the cosmetologist who performed the injections. In general, the procedure is tolerated quite well by patients, serious complications are quite rare, but forewarned is forearmed.

Opinion of cosmetologists

Cosmetologists talk about the need for careful preparation for procedures - preference should be given to qualified specialists and biodegradable fillers:

Doctors point out the importance of general skin care, despite the rapid anti-aging effect after filler injection:

Effect and subsequent recommendations

After the introduction of the corrective filler, there is no need to massage the nasolabial area; you must ensure rest for 24 hours. Going to the bathhouse, solarium and sauna is allowed at least every other week.

In the summer, when going outside, you need to use creams that protect from the sun's rays. Decorative cosmetics can be used one day after the procedure.

The results of the correction last from six months to a year. Nasolabial wrinkles are facially active, so the fillers in them dissolve somewhat faster.

How long the result lasts depends on a number of factors:

• Filler viscosity;
• Injection depths;
• Personal characteristics and lifestyle of the patient.

The effect of such plastic surgery will disappear after a few months if a person has:

• Thyroid diseases;
• Severe dryness of the dermis.

The procedure for correcting nasolabial folds involves injections, which means there is a possibility of painful sensations. However, it must be borne in mind that painkillers may well provoke the formation of significant edema. This helps to slightly smooth out the desired effect.

Patient reviews

Carrying out plastic surgery

Before anti-aging injections, you need to visit a doctor who will study your medical history, assess your general condition, determine your skin type and make sure there are no contraindications.

A prerequisite for the procedure is informed consent signed by the patient. The card contains information about the name of the drug, its series, dose, expiration date, points of administration and anesthesia.

The choice of filler is the competence of a specialist who has experience in using certain products in different areas of the face and body, taking into account age and gender characteristics.

The preparatory stage includes taking antiviral medications to avoid the appearance of herpes, avoiding alcohol and following a diet.

How it goes

To correct nasolabial folds, 0.5 ml of filler is injected on each side.

Preference should be given to drugs without lidocaine, since the substance causes temporary whitening of the tissue at the puncture site and simulates ischemia.

Nasolabial folds are removed using the linear-retrograde technique and its variations.

They work with a 13 mm needle or flexible cannula - it moves parallel to the skin in the middle or deep layers. The material is removed when the tool moves backwards.

• In the first case, lidocaine cream or gel is applied as anesthesia. The desired areas are treated with it, left for 25 minutes, and then removed. The skin is thoroughly wiped with antiseptics.
• In the second, an injection of local anesthetic is performed.

Techniques:

• The filler can be injected along the nasolabial fold. Then the injections are carried out at intervals along the entire length of the needle; for the first, 13 mm are retreated from the wing of the nose.
• It is also possible to move perpendicularly in 10-12 mm tracks. Consecutive injections are made from the nose to the corner of the mouth.

Each gym requires 15 to 20 punctures. Manipulations take about 40-60 minutes.