12/21/2025
Not all fullness reads as youth — and in some cases, it can make the face look older than it actually is.
This patient came to me as a new client with concerns about her nasolabial fold. She felt the area had worsened after previous filler treatments and no longer looked like herself.
On assessment, it was clear the concern wasn’t isolated to one area. There was excess filler across multiple regions of the face, contributing to heaviness, altered light reflection, and downward pull — all of which can exaggerate folds rather than soften them.
Without knowing the specific products used or the exact techniques applied, what’s important to understand is that nasolabial folds are one of the most complex areas to treat. They rarely respond well to direct filling alone and often require a strategic, global approach using different filler types, depths, and placement patterns — sometimes not in the fold at all.
These results were achieved over two dissolving sessions, with further dissolving likely beneficial — particularly in the under-eye area.
Ethical injecting means understanding facial anatomy, choosing the right product for the right plane, and respecting a client’s unique tissue quality and baseline. It also means being honest about what is — and is not — achievable, regardless of age.
If a result doesn’t align with safe anatomy, appropriate product behavior, or realistic outcomes, the responsibility is to pause, say no, and reset expectations. I’m always upfront with patients when something isn’t the right approach — and I’m comfortable declining treatment or referring out when needed.
Support over volume.
Structure before filler.
Refinement over excess.
Ethical injecting is intentional 🤍
*posted with full consent*
