Menu

Best Filler for Smile Lines – Top Choices for Nasolabial Folds

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Dermal fillers have emerged as a popular and effective solution for addressing smile lines, also known as nasolabial folds or laugh lines. These creases, which run from the sides of the nose to the corners of the mouth, often deepen with age due to loss of collagen and facial volume.

While there are several options available, hyaluronic acid-based fillers are widely considered the best choice for treating smile lines. Products like Juvederm Vollure XC and Restylane Refyne have gained popularity for their ability to provide natural-looking results that move smoothly with facial expressions. These fillers not only fill in the lines but also stimulate collagen production, offering both immediate and long-term benefits. When choosing the best filler for smile lines, factors such as the severity of the lines, skin type, and desired longevity of results must be considered to achieve optimal outcomes.

Choosing the Best Filler for Smile Lines

Selecting the right dermal filler for smile lines involves careful consideration of various factors to ensure the best possible results. A thorough understanding of the available options and their specific characteristics is essential for making an informed decision.

Factors to Consider

Severity of Smile Lines: The depth and prominence of nasolabial folds play a crucial role in determining the most suitable filler. Mild to moderate lines may benefit from softer, more flexible fillers like Restylane Refyne or Juvederm Vollure XC. These products are designed to integrate smoothly with the skin, providing natural-looking results. For deeper, more pronounced smile lines, a thicker, more robust filler such as Juvederm Ultra Plus or Restylane Defyne may be necessary to achieve the desired volume and lift.

Skin Type and Texture: The patient’s skin type and texture significantly influence the choice of filler. Those with thin or delicate skin may require a softer, more pliable filler to avoid an overfilled or unnatural appearance. On the other hand, individuals with thicker skin or more severe volume loss might benefit from a denser filler that can provide substantial support and lift. Additionally, skin elasticity plays a role in how the filler will integrate and move with facial expressions, making it essential to choose a product that complements the skin’s natural characteristics.

Desired Longevity of Results: The duration of filler effects is an important consideration for many patients. Hyaluronic acid fillers typically last between 6 to 18 months, depending on the specific product and individual factors. Juvederm Vollure XC, for example, can provide results lasting up to 18 months in some patients, making it an attractive option for those seeking longer-lasting effects. On the other hand, Restylane products generally offer results for about 6 to 12 months. Patients should weigh the benefits of longer-lasting fillers against the potential need for touch-ups or adjustments, as well as consider their comfort level with committing to a particular look for an extended period.

Popular Fillers for Smile Lines

Juvederm Vollure XC: This advanced dermal filler is specifically designed to address moderate to severe facial wrinkles and folds, including nasolabial folds. Juvederm Vollure XC utilizes Vycross technology, which combines different molecular weights of hyaluronic acid to create a smooth, long-lasting gel. This unique formulation allows for a more natural look and feel, as it smoothly integrates with the skin’s tissue. The “XC” in its name indicates the inclusion of lidocaine, a local anesthetic that enhances patient comfort during the injection process. One of the standout features of Juvederm Vollure XC is its longevity, with results typically lasting up to 18 months. This extended duration makes it an attractive option for those seeking a longer-term solution for smile lines.

Restylane Refyne and Defyne: These two fillers from the Restylane family are specifically formulated to address different severities of nasolabial folds. Restylane Refyne is designed for moderate wrinkles and folds, while Restylane Defyne is better suited for deeper, more pronounced lines. Both products utilize XpresHAn Technology, which creates a flexible gel that moves naturally with facial expressions. This technology allows for a more natural look, avoiding the stiff or overfilled appearance that can sometimes occur with other fillers. Restylane Refyne and Defyne are also formulated with lidocaine for increased comfort during treatment. The results from these fillers typically last between 6 to 12 months, providing a significant improvement in the appearance of smile lines while maintaining natural facial movements.

Radiesse: Unlike hyaluronic acid-based fillers, Radiesse is composed of calcium hydroxylapatite microspheres suspended in a gel carrier. This unique composition makes Radiesse particularly effective for addressing deeper facial wrinkles and folds, including more pronounced smile lines. When injected, Radiesse provides immediate volume and lift to the treated area. Over time, it stimulates the body’s natural collagen production, leading to longer-lasting results. This dual-action approach not only fills the wrinkles but also helps improve the skin’s structure and elasticity. Radiesse typically lasts between 12 to 18 months, making it one of the longer-lasting filler options for smile lines. It’s worth noting that Radiesse cannot be dissolved like hyaluronic acid fillers, so careful consideration and expert application are crucial.

Combination Treatments

Using Multiple Fillers for Optimal Results: Combining different types of dermal fillers can provide more comprehensive and natural-looking results when treating smile lines. This approach, often referred to as a “layering technique,” allows practitioners to address various aspects of facial aging simultaneously. For instance, a thicker filler like Radiesse might be used to provide structural support and lift in the cheek area, indirectly improving the appearance of nasolabial folds. A softer, more flexible hyaluronic acid filler such as Juvederm Vollure XC or Restylane Refyne could then be used to directly fill and smooth the smile lines. This multi-layered approach can create a more harmonious and balanced rejuvenation, addressing both volume loss and surface wrinkles for a naturally youthful appearance.

Combining Fillers with Botox or Dysport: Integrating neuromodulators like botox or Dysport with dermal fillers can enhance and prolong the overall results of smile line treatment. While fillers address static wrinkles and volume loss, botox and Dysport target dynamic wrinkles caused by muscle movement. By strategically injecting these neuromodulators into specific facial muscles around the mouth and nose, practitioners can relax the muscles that contribute to the formation and deepening of smile lines. This relaxation reduces the constant creasing of the skin, allowing the filler to maintain its shape and position for a longer period. The combination of fillers and neuromodulators can provide a more comprehensive approach to facial rejuvenation, addressing both the structural and muscular factors contributing to smile lines.

Results and Maintenance

The results of dermal filler treatments for smile lines can be both immediate and long-lasting. Understanding the expected outcomes and how to maintain them is crucial for patient satisfaction and long-term success.

Expected Results and Longevity

Immediate Improvements: Patients typically experience noticeable improvements in the appearance of their smile lines immediately following the dermal filler injection procedure. The nasolabial folds appear smoother and less pronounced, with a visible reduction in the depth of the creases. The face often looks more youthful and refreshed, with a subtle lift in the treated areas. It’s important to note that some initial swelling may be present, which can temporarily enhance the results. As this swelling subsides over the next few days, the true effects of the filler become more apparent. Patients often report feeling more confident and satisfied with their appearance, noting that their facial expressions appear more natural and relaxed. The immediate results serve as a preview of the overall improvement, though the final outcome becomes fully evident once any residual swelling has completely resolved.

Long-Term Effects: The long-term effects of dermal fillers for smile lines can be significant and satisfying. Over time, as the filler integrates with the surrounding tissue, the results often improve and appear more natural. Many hyaluronic acid-based fillers stimulate collagen production, leading to gradual improvements in skin quality and texture. This collagen stimulation can contribute to longer-lasting results, even as the filler itself begins to break down. The longevity of the effects varies depending on the type of filler used, individual factors such as metabolism and lifestyle, and the severity of the original smile lines. Generally, results can last anywhere from 6 to 18 months, with some newer formulations potentially lasting even longer. Regular maintenance treatments can help sustain the improvements, potentially leading to a cumulative effect where less filler is needed over time to maintain the desired appearance.

Touch-Up Treatments and Maintenance

Scheduling Follow-Up Appointments: Regular follow-up appointments are crucial for maintaining the optimal effects of dermal fillers for smile lines. Most practitioners recommend scheduling a follow-up visit 2-4 weeks after the initial treatment. This appointment allows the practitioner to assess the results, address any concerns, and make minor adjustments if necessary. Subsequent follow-ups are typically scheduled every 6-12 months, depending on the type of filler used and individual patient factors. These periodic assessments help monitor the longevity of the filler and determine the appropriate timing for touch-up treatments. By maintaining a consistent schedule of follow-up appointments, patients can ensure that their results remain consistent and natural-looking over time. It also allows for early detection and correction of any potential issues, ensuring the best possible long-term outcomes.

Maintaining Optimal Results: To maintain the best results from dermal filler treatments for smile lines, a comprehensive approach is necessary. This includes both professional treatments and personal care routines. Patients are often advised to adopt a skincare regimen that includes sun protection, hydration, and the use of products containing retinoids or peptides to support skin health and collagen production. Regular facial treatments such as chemical peels or microdermabrasion can complement the effects of fillers by improving overall skin texture and tone. Lifestyle factors also play a role; maintaining a stable weight, staying hydrated, and avoiding excessive sun exposure can help prolong the effects of the filler. Some patients benefit from combining filler treatments with other non-invasive procedures like botox or skin tightening treatments for a more comprehensive rejuvenation approach. Consistency in maintenance treatments and adherence to skincare recommendations are key to achieving and sustaining optimal, natural-looking results over time.

Frequently Asked Questions

How long do dermal fillers last for smile lines?

Dermal fillers typically last between 6 to 18 months for smile lines, depending on the specific filler used and individual factors like metabolism and lifestyle.

How often should I get touch-up treatments to maintain my results?

It is generally recommended to schedule touch-up treatments every 6 to 12 months to maintain optimal results. Your practitioner will provide a personalized maintenance plan based on your specific needs.

Can dermal fillers be used to treat other types of wrinkles or lines on the face?

Yes, dermal fillers can be effectively used to treat various types of wrinkles and lines on the face, including marionette lines, crow's feet, and forehead lines, as well as to add volume to cheeks and lips.

Conclusion

Dermal fillers offer an effective, non-surgical solution for reducing smile lines and achieving a more youthful appearance. With options like Juvederm Vollure XC, Restylane Refyne, and Radiesse, patients can choose the filler that best suits their needs. The procedure involves careful consultation, preparation, and aftercare to ensure optimal results and patient satisfaction. Regular touch-up treatments and a comprehensive skincare regimen are essential for maintaining long-lasting outcomes. By selecting an experienced practitioner and following personalized treatment plans, patients can enjoy smoother, more youthful skin and a confident smile.

Was this article helpful?

Yes
No

References:

Stefura, T., Kacprzyk, A., Droś, J., Krzysztofik, M., Skomarovska, O., Fijałkowska, M., & Koziej, M. (2021). Tissue Fillers for the Nasolabial Fold Area: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

https://link.springer.com/article/10.1007/s00266-021-02439-5

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.