Not Enough With Nasolabial Fold Fillers Alone? 4 Options

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When nasolabial fold fillers feel a little short?

Four complementary procedures for the best synergy effect

Bellevue confidently recommends them!

Bellevue Clinic, natural beauty

Nasolabial folds (nasolabial groove, Nasolabial Fold) are one of the most representative signs of aging, and deep grooves in this area can make a person look stubborn or older. There are probably very few people who like nasolabial folds. The fastest and most effective way to improve these wrinkles is definitely filler treatment.

During nasolabial fold filler treatment (patient consent)

However, even after filling in the crease with filler, there are many times when it still feels like “something is 2% missing.” The reason is that nasolabial folds are not simply ordinary wrinkles caused by skin indentations; they are the result of complex aging changes in the surrounding tissues. What does that mean? Let’s take a closer look.

The real causes of nasolabial folds

1. Sagging cheeks: As the cheeks, especially the deep cheek fat, sag downward, they create shadows above the nasolabial line and deepen the folds. (Firmness issue)

2. Hollowing under the cheekbones and around the nose: As volume is lost below the cheekbones or beside the nose (the area of the “Indian wrinkle”), shadows appear where the wrinkle begins. (Volume issue)

3. Reduced skin density: The skin itself becomes thinner and loses elasticity, making wrinkles easier to crease. (Skin regeneration issue)

You see? Therefore, in addition to filling hollow areas (Volume Up), it is essential to lift the surrounding area (Lift Up) and strengthen the skin itself (Density Up). Today, we’ll introduce in detail four complementary procedures optimized to maximize the effect of nasolabial fold fillers and complete a natural, youthful-looking face.

Nasolabial Fold Solution 1. ⬆️ Lift the “base” of sagging cheeks with laser

One of the biggest reasons nasolabial folds deepen is that the upper cheeks and skin sag in the direction of gravity, placing a heavy load above the wrinkle. No matter how much filler is used, if the downward pressure is strong, the fold will not improve easily.

Lifting devices target the deep layers of the skin, contracting and lifting sagging tissue to reduce the burden above the nasolabial fold.

Recommended procedure	Target layer	Main role	Synergy for nasolabial folds
Ulthera/Shrink (HIFU)	SMAS layer (fascia layer)	Contracts tissue deep in the skin for structural lifting	Strongly lifts the entire sagging cheek upward to reduce the shadow of the nasolabial fold
Thermage (RF)	Dermis	Contracts collagen in the dermis and improves density	Improves skin elasticity around the nasolabial fold and eases creasing
Oligio (RF)	Dermis	High-frequency energy similar to Thermage to improve fine wrinkles and elasticity	Improves fine wrinkles and subtle sagging under the cheekbone where the nasolabial fold begins

★ Bellevue tip

If you are concerned about sagging cheeks that make the nasolabial folds more severe or that cover them, it is a good idea to first establish a lifting foundation with Ulthera/Shrink. If you have thinner skin and more fine, crinkly wrinkles, it is better to first improve skin density with Thermage/Oligio.

Nasolabial Fold Solution 2. 📌 Fix the wrinkle line with thread lifting

If lifting devices are a long-term solution for establishing the overall foundation of the skin, thread lifting is a powerful solution that directly pulls and fixes the specific areas causing nasolabial folds.

Recommended procedure	Ingredients and principle	Main role	Synergy for nasolabial folds
Cog thread	Dissolvable thread with barbs (PDO/PLLA, etc.)	Hooks sagging skin tissue and physically pulls and fixes it in the desired direction	Firmly pulls the heaviest area of the cheek that forms the nasolabial fold, reducing the space that needs filler
Mono thread/Tornado thread	Smooth or twisted dissolvable thread	Induces collagen regeneration around the thread	Improves the elasticity of the deeply indented fold itself and stimulates collagen production around it

★ Bellevue tip

When thread lifting is combined after filler treatment, the synergy of “filler (volume) + thread (pulling)” makes the nasolabial fold improvement much more natural and noticeable. However, the treatment order and depth must be carefully determined so that the thread does not affect the area where filler was injected.

Nasolabial Fold Solution 3. Skin/collagen boosters for “skin regeneration”

Nasolabial folds are also dynamic wrinkles that deepen when making facial expressions. If the skin itself lacks density and elasticity, wrinkles crease more easily and become deeper. Skin boosters improve the environment within the skin to restore thickness and elasticity.

Recommended procedure	Injected ingredient	Main role	Synergy for nasolabial folds
Juvelook/Sculptra (PLLA/PLA)	Collagen-stimulating substance	Stimulates skin fibroblasts to induce natural collagen production	Fundamentally increases skin density in the nasolabial fold area, weakening the force that creases wrinkles
Rejuran (PN/PDRN)	Salmon DNA extract (polynucleotide)	Regenerates skin cells, helps repair damage, improves oil-water balance	Restores skin thickness and elasticity, making the skin around the folds firmer
Exosome	Stem cell-derived messenger vesicle	Delivers skin regeneration signals to maximize skin activity	Helps ease minor inflammation around the nasolabial folds and improves overall skin condition

★ Bellevue tip

If you use a strategy of first injecting a collagen booster before filler treatment to strengthen the skin base, the filler can settle more stably and the duration of effect may be extended. In particular, collagen boosters such as Juvelook fill thin skin around the nasolabial folds with volume and density, compensating for the shortcomings of filler.

Nasolabial Fold Solution 4. Clear out the fat above the folds with contour injections and fat-dissolving procedures

Many people whose nasolabial folds look especially severe often have fat piled up just above the fold line (deep cheek fat or jawline fat), which covers the folds. In such cases, a procedure that reduces fat is needed.

Recommended procedure	Principle	Main role	Synergy for nasolabial folds
Contour injection (fat dissolution)	Injection of drugs that reduce or break down the size of fat cells	Reduces unnecessary facial fat volume	Reduces the fat stacked above the nasolabial fold, easing the burden of sagging and brightening the shadow of the wrinkle
InMode Mini FX	Fat cell death and suction using radiofrequency energy	Destroys fat tissue and tightens skin	Intensively destroys localized fat around the nasolabial line while also providing a lifting effect

★ Bellevue tip

If your cheeks still look saggy like a bulldog even after nasolabial fold filler, combining contour injections or InMode Mini FX to clear out the fat may be the most reliable solution.

The strongest combination design

for “nasolabial fold filler synergy”

must be tailored individually!!

Bellevue Clinic, natural beauty

The key to improving nasolabial folds is not to rely on just one procedure. The focus should be on finding the most suitable combination according to each person’s nasolabial fold type and skin condition.

Nasolabial fold type	Main concern	Recommended synergy combination
Sagging type (advanced aging)	Cheeks drop heavily and deepen the fold	Ulthera/Shrink + thread lifting -> filler treatment
Fat type (thick cheeks)	There is a lot of fat above the folds, making the wrinkle look creased	Contour injections/InMode -> filler treatment
Thin-skin type (with fine wrinkles)	Skin is thin, creases easily, and lacks elasticity	After filler treatment, strengthen skin density with Juvelook/Thermage

To do that, first you need to start correctly~! The most important thing is making an accurate and delicate diagnosis of what kind of facial concern it is. It should not just be a matter of thinking, “It’s hollow, so let’s put in filler.” You need to accurately determine whether your nasolabial folds are due to sagging, fat, or a lack of skin density, and then combine the most necessary complementary treatments among the four options above. The age of simply filling is over. A multi-angle approach that combines lifting and three-dimensional regeneration is the secret to a natural, long-lasting youthful face.

If you are unsure which procedure is right for you, visit Bellevue Clinic and receive a thorough consultation with our medical professionals. We will accurately diagnose your skin condition and suggest the most effective method.

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The Mark-Vu skin diagnostic test can check, all at once, a variety of skin concerns that are difficult to see with the naked eye, such as skin texture, pigmentation, pores, wrinkles, skin tone, dark circles, glow, redness, melanin, sebum, and acne bacteria.

At Bellevue, we use this to scientifically analyze your skin and make a final diagnosis of the procedures needed. Through detailed consultations, we will strive to provide the most effective treatment for each patient.

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