The way we think about facial aging has changed significantly in the last 5 years. Previously, when we saw a line on the face, our first thought was to fill it with something like a dermal filler. For some patients this worked – the line was filled and everyone was happy, but for others, the results were less than perfect.

Nasolabial Fillers Cape Town Somerset West

As we age, the first line that seems to bother us in the lower face is the nasolabial fold – this is the line from the corner of the nose to the corner of the mouth. When fillers first came out, this was the line that everyone had filled. The problem comes when you think about what makes a youthful face look youthful. In a youthful face there is very little volume (forward projection of tissue) in the area between the nose and the mouth. The bulk of facial volume is held in the cheeks.

When you place a filler in a nasolabial fold you run the chance of over-filling the area. This phenomenon has been referred to as the “baboon face” effect. The images seen below are examples of the typical face that results when fillers are injected incorrectly.

Nasolabial Fillers Cape Town Somerset WestNasolabial Fillers Cape Town Somerset WestNasolabial Fillers Cape Town Somerset West

The new and correct approach is to look at the face in 3 dimensions. Rather than filling lines, we aim to rejuvenate the face by adding volume where it has been lost. Once facial volume has been restored to what it once was, we see a marked improvement in nasolabial folds – without adding any filler to this area. This is as a result of the lifting effect that the fillers give. The end result is a more natural look.

I like to think of the face as if it’s a 3 dimensional diamond, rather than a 2 dimensional triangle. A diamond sparkles from all angles, whereas a triangle is invisible when turned sideways!


Nasolabial Fillers Cape Town Somerset West


At the end of the day, the lack of a nasolabial fold in a person doesn’t make them look younger or more attractive. As seen in the well-known actress, Blake Lively, in the right circumstances a nasolabial fold can be an attractive feature rather than a flaw. What we notice in her is that she has great cheek volume – this is the reason why she appears youthful. Without the use of fillers in years to come, her cheeks will lose volume and her face will sag downwards. This will deepen her nasolabial folds as well as create a line under her eye called the tear trough. Looking at the face as a whole prevents us from treating incorrectly or over-treating.

Nasolabial Fillers Cape Town Somerset West

CANNES, FRANCE – MAY 15: Blake Lively attends the “Mr Turner” premiere during the 67th Annual Cannes Film Festival on May 15, 2014 in Cannes, France. (Photo by Ian Gavan/Getty Images)

To restore volume to the cheek area and reduce the appearance of the nasolabial folds we typically inject 3 to 4 points on either side of the mid-face. Everyone is different and therefore we map out the face using anatomical landmarks. This allows us to see where volume has been lost – it also allows us to be precise so that the result can be a symmetrical one.

Nasolabial Fillers Cape Town Somerset West

Results from this treatment are immediate. Sometimes there may be some swelling or redness – this usually only lasts 1 to 2 days.

For more information and to make a booking with Dr Wade in Green Point, Cape Town or in Somerset West please contact us via telephone or email – our relationship manager will gladly be of assistance. Nasolabial Fillers Cape Town Somerset West – for natural results.

t: 021 433 0967



Nasolabial Fillers Cape Town Somerset West

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