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Holistic Midface Balancing

Nasolabial Fold and Cheekbone Support

Scientific Explanation

The nasolabial fold is not a line that should be addressed on its own. Its prominence is often not caused by the line itself, but by weakening of the midface support structures that carry it.

Anatomical Reality

The cheekbone is the primary supporting structure of the midface. With aging:

⬇️

Soft tissues shift downward

When cheekbone support weakens, tissue descent begins

📈

The nasolabial fold deepens

Loss of support makes the fold more pronounced

😴

The face appears tired

Overall facial expression is negatively affected

Important: The nasolabial fold is a result, not the cause. The real issue is the loss of midface support.

Why Is the Nasolabial Fold Not Filled Alone?

❌ Incorrect Approach

⚠️ Filling only the line
⚠️ Risk of an artificial and swollen appearance
⚠️ Short-term and unbalanced results

✓ Correct Approach

The cheekbone is supported first
The fold softens indirectly
Natural and long-lasting results

Correct Treatment Plan

1

Cheekbone Assessment

Midface support is analyzed and volume loss is identified.

2

Structural Support Application

Deep-plane support is provided to the cheekbone area.

3

Nasolabial Assessment

After cheekbone support, the condition of the fold is re-evaluated.

4

Minimal Correction (If Necessary)

Only if required, minimal nasolabial correction is performed.

When Performed Correctly

Natural Softening

The fold softens indirectly

The midface is lifted.

Structural support is provided

No artificial appearance

Natural expression is preserved

Long-lasting result

Long-term improvement

Conclusion

The nasolabial fold is not filled on its own. Nasolabial fillers performed without cheekbone support may lead to artificial results. The correct approach is to treat the cause first, and then correct the result if necessary.

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