Filling wrinkles with hyaluronic acid is not about mechanically “flooding” every line. Folds and wrinkles can result from a loss of volume, facial expression, skin laxity, dehydration, photoageing or the structure of the face.

That is why, before the treatment, it is worth answering one question: does the problem really require filling, or rather an improvement in skin quality, tension, hydration or work on a different area.

Nasolabial folds are not always a problem of the fold itself

Nasolabial folds often deepen due to the work of the cheek, loss of tissue support and natural facial expression. A filler can improve a selected area, but with significant laxity or strong tissue descent the effect will be limited.

In practice, it is sometimes better to first take care of skin quality, regeneration and tension, and only later consider filling.

The frown line: static or dynamic?

If the line between the brows is visible mainly during frowning, its main element is facial expression. If it has also set in at rest, we can speak of a static component. This matters, because hyaluronic acid alone does not solve excessive work of the mimic muscles.

The frown line and nasolabial folds require an assessment of depth, skin tension and earlier procedures.

When will the effect be most natural?

When is it worth starting with a different plan?

With thin, dehydrated, dull skin or many fine lines, a better start may be biorevitalisation, microneedling, mesotherapy or a peel rather than a filler. With active inflammation, infection, recent treatments, pregnancy, breastfeeding or certain diseases, qualification requires special caution.

A well-performed treatment should not change facial expression or the character of the face. It is meant to support proportions and freshness where a filler really is the right tool.