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GuideNasolabial folds

Guide · Nasolabial folds

Nasolabial fold fillers in Berlin

The fold between the side of the nose and the corner of the mouth is a natural part of facial anatomy. If you would like to change how pronounced it is, I also consider the cheek and midface. This helps me assess whether injections are suitable for your concerns.

Understanding your concernsCosts at a glance

With a personal perspective from Andrea CalettiSpecialist in Plastic and Aesthetic Surgery · Berlin

Woman with natural nasolabial folds between the sides of her nose and the corners of her mouth
Understanding your wishes and taking time to consider the options.

The short answer

What can injections change?

Hyaluronic acid can soften a nasolabial fold where the findings support its use. Whether treatment is directed at the fold itself or an adjacent area of volume loss depends on your anatomy. Fat transfer is a surgical alternative that involves an additional donor site. Complete smoothing is not always achievable, nor is it necessary for a natural expression.

  1. Understanding the contour

    A deep line may be linked to volume loss, tissue position and skin quality.

  2. Limiting the extent of treatment

    More filler is no substitute for the right diagnosis.

  3. Reviewing the result together

    Initial swelling and the later result need to be assessed separately.

From wishes to understanding

Understanding nasolabial folds in more detail

The following distinctions help you make sense of what you have noticed and prepare relevant questions for your consultation.

01Causes

Why do nasolabial folds become more pronounced?

Genetic predisposition, facial expressions and changes in the midface all play a part.

Understanding the connections

Over time, skin elasticity, fat distribution and cheek support change. Significant weight loss can also affect the contour. The fold is therefore not a reliable indication of your mood or lifestyle.

Sun protection and not smoking support skin health. Creams can care for dry skin, but they cannot reposition tissue or restore lost volume. Facial massage is not a substitute for structural correction either.

02Choosing a method

Hyaluronic acid or fat transfer?

Both add volume, but they differ considerably in what is involved and how treatment progresses.

Understanding the connections

Hyaluronic acid is used as a filler gel. I assess whether a limited correction of the fold or subtle support for the cheek makes more sense. There is no need to treat both areas as a matter of course.

For fat transfer, fat first needs to be harvested from another part of the body and prepared. Some is broken down again; the remaining proportion may last longer. Harvesting, recovery and possible further sessions therefore need to be included in the plan. Fat transfer is not a non-surgical treatment.

03Limitations

When more filler will not help

Where there is substantial excess skin or markedly descended tissue, additional volume can make the lower face look heavier.

Understanding the connections

I discuss with you what change is realistic and whether a surgical lift would suit your wishes at all. You do not have to choose surgery simply because injections are unlikely to offer much benefit.

Botox relaxes muscles but does not replace missing volume at the nasolabial fold. Marionette lines, by contrast, run downwards from the corners of the mouth and need to be assessed separately.

Comparing procedures

Which option suits which findings?

The choice is based on the examination and your wishes. Benefits, limitations and recovery are discussed for the specific procedure.

Hyaluronic acid

The aim
Targeted correction of volume loss where appropriate.
The limitation
Does not remove excess skin; vascular risks remain.
Recovery
Swelling and bruising are possible; the result should only be assessed once these have settled.

Fat transfer

The aim
Restoring volume with your own tissue, based on an individual treatment plan.
The limitation
Requires surgical harvesting; how well the fat settles into the tissue and how much volume remains cannot be fully predicted.
Recovery
Both the donor site and the face need time to recover; further sessions may be needed.

Surgical lift

The aim
Repositioning tissue where the findings support this approach.
The limitation
Surgery involves scars and a longer recovery; it does not eliminate all wrinkles.
Recovery
Aftercare and time off depend on the extent of surgery.
Andrea Caletti during a personal consultation.A decision that fits your life

A closer look

How I treat nasolabial folds

During the consultation, we discuss previous fillers, medication, medical conditions and your expectations. I examine both sides of your face at rest and when you smile. The treatment area, material, pain relief and costs are agreed before treatment.

With hyaluronic acid, measured amounts of gel are injected into the tissue layer identified during planning. A needle or cannula is chosen according to the area and examination findings; a blunt cannula does not reliably prevent complications. Rather than correcting as much as possible straight away, it may make sense to review the result later and decide on the next steps then.

  • Discuss previous treatments and any existing filler openly.
  • The natural fold may remain visible when you smile.
  • Arrange a follow-up appointment and establish how to get in touch after treatment.

Costs in Berlin

Costs and scope
for your planning

The general guide price for hyaluronic acid below is not an all-inclusive price for both nasolabial folds. The amount of material, whether the cheeks are included and any preparatory treatment determine the actual extent of treatment. Fat transfer is priced separately because it involves harvesting and surgery.

Hyaluronic acid fillersHyaluronic acid treatment · depending on area and materialfrom €400

The prices quoted for each method are guide prices for the scope described. Before you decide, you will receive a personal cost plan detailing the treatment included, follow-up appointments and possible additional costs. Other areas or repeat treatments are not automatically included.

Discuss the extent of your treatment

Deciding together

Preparation, everyday life and aftercare

Your individual guidance will depend on the examination findings, procedure and progress.

  1. 01

    Preparation

    Do not stop prescribed medication on your own. Inflammation, previous reactions and existing fillers should be discussed at the consultation.

  2. 02

    The first few days

    If needed, cool the area gently without applying pressure or ice directly to the skin. Follow your personal aftercare instructions regarding exercise, heat, make-up and massage.

  3. 03

    Follow-up

    Swelling can initially give a misleading impression of the result. Repeat treatments depend on the findings and your wishes.

Personal consultation in Berlin-Charlottenburg
Kurfürstendamm 200 · 10719 Berlin
c/o Vita Aesthetica

Contact & directions

An informed decision

Safety and risks
considered carefully

Around the nose and midface, particular attention must be paid to the course of the blood vessels. Fat injections can also cause serious vascular complications.

  • Swelling, bruising, tenderness or redness are possible.
  • Irregularities, nodules, infections and delayed inflammatory reactions can occur.
  • Rare vascular occlusions can cause tissue damage and serious consequences, including loss of sight.

When you need immediate helpSeek medical help immediately if you experience severe or increasing pain, unusually pale skin or a net-like pattern of skin discolouration. If you experience visual disturbances, seek immediate assessment by an emergency medical service or an ophthalmologist; do not wait for your follow-up appointment.

Dottore Andrea Caletti with a warm smile.

Your doctor

Andrea Caletti

Specialist in Plastic and Aesthetic Surgery

I want you to recognise yourself in your appearance and feel comfortable with it.

My professional journey

Exploring the wider picture

Distinguishing lines around the mouth

Understanding lip lines, the corners of the mouth and the chin.

Hyaluronic acid fillers

Understanding the materials, treatment and risks.

Good to know

Frequently asked questions:
Nasolabial folds

A website can offer guidance. We will discuss your individual situation during a medical consultation.

Ask your question
01

When will I see the result?

Hyaluronic acid changes volume immediately. Swelling and bruising can initially distort the contour; the result is assessed once these have subsided. Transferred fat needs additional time to settle into the tissue.

02

How long do the injections last?

Hyaluronic acid usually has an effect lasting several months. The product, amount, treatment area and metabolism influence its duration. The often-quoted estimate of around ten months is not a promise for your individual result. With fat transfer, some of the fat may remain for longer.

03

Is the treatment painful?

You may feel needle pricks, pressure or a burning sensation. Depending on the procedure, we will discuss local pain relief. A pain-free treatment cannot be guaranteed.

04

Do I need a specific number of millilitres?

The amount depends on the examination findings, not a fixed quantity per fold. One syringe does not guarantee a complete result. The extent of treatment and any further sessions are discussed beforehand.

05

Can I return to work straight away?

After hyaluronic acid treatment, you can often return to everyday activities quite soon. However, visible swelling or bruising may still be inconvenient. Allow some time before important appointments; recovery times after fat transfer are different.

Sources & medical background

Further medical information on the procedures described, their limitations and risks.

Dottore Andrea Caletti in a friendly conversationDottore Andrea Caletti

Let us begin with a conversation

Personal consultation
about your wishes

Tell me what matters to you.
I will take time for your questions.

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