Depending on the shape of the face, the manner in which the face moves and the distribution of fat we can develop nasolabial folds. The smiling gesture works the skin in the same area creating a dynamic line in the skin. With time various effects such as volume loss and skin laxity exacerbate the lines. Gradual sinking of the skin and facial tissues can make the nasolabial lines deeper and less attractive.

• Treatment of the nasolabial folds is aimed at restoring the facial volume using volumising or collagen-creating fillers. These can be placed directly in the line in the early stages. However once a fold has developed the facial tissues need to be elevated with fillers in the cheeks and lateral face.
• We must not overdo the volume and risk altering the face simply to reduce lines. Sometimes we need to add other lifting techniques such as Silhouette threading or Exilis RF, RF microneedling to lift the face and open out the nasolabial folds.

Energy based treatments such as Sofwave, Thermage FLX and RF microneedling tighten and improve the skin quality, thereby reducing laxity of the skin. RF microneedling can be combined with Silhouette Soft and fillers. The results will take time to show, but they will be natural and durable. The Exilis RF device offers good results without the need for injection or threads, but will take a few months to show.