{"id":28602,"date":"2025-07-09T14:38:11","date_gmt":"2025-07-09T12:38:11","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&p=28602"},"modified":"2026-07-03T15:11:59","modified_gmt":"2026-07-03T13:11:59","slug":"age-nasolabial-fold-injection","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/age-injection-sillon-nasogenien\/","title":{"rendered":"At what age should I consider nasolabial fold treatment ?"},"content":{"rendered":"

AT WHAT AGE SHOULD I CONSIDER A NASOLABIAL FOLD TREATMENT ?<\/h1>\n

The nasolabial fold<\/a> is one of the most common facial wrinkles<\/a>, often associated with an expression of fatigue or severity. Present in everyone, it tends to deepen gradually with age through skin ageing, volume loss and muscle dynamics. Many patients wonder about the ideal time to intervene : should they wait until the fold is very visible ? Can treatment be preventive ? Is there a recommended age from which treatment becomes appropriate ?<\/p>\n

There is no universal answer, because this decision depends less on age than on a precise assessment of each patient's facial structure, anatomy, dynamics and aesthetic objectives. Nasolabial fold treatment forms part of an overall harmonisation approach that considers gradual tissue ageing and the patient's personal expectations.<\/p>\n

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At what age does the nasolabial fold appear ?<\/h2>\n

The nasolabial fold lies between the cheek and upper lip, marking the transition between the malar area (cheekbones) and perioral region. It is a static and dynamic fold that deepens through several combined factors : midface fat compartment sagging, reduced dermal density associated with intrinsic ageing, repeated contraction of the upper lip elevator muscles, bone loss in the upper jaw, and ligament and skin laxity.
Although the nasolabial fold can appear from childhood as an expression fold, over the years it becomes a true sign of ageing. At this stage, it reflects a lasting structural change. Treatment must therefore aim to restore missing volume, support lax tissues and soften the transition between different facial areas.<\/p>\n

From what age should a nasolabial fold be treated ?<\/h2>\n

There is no universal age, but in practice initial nasolabial fold treatment is generally considered between 35 and 45, depending on the patient's facial structure, skin quality and lifestyle. Before 35, pronounced folds are rare except in particular cases : a very slim face, hereditary fold, substantial weight loss, excessive sun exposure or premature skin ageing.
The appearance of the nasolabial fold does not depend solely on age. It often indirectly results from malar ptosis \u2013 descent of the cheekbones \u2013 and gradual volume loss. Rather than focusing on the fold itself, the doctor must therefore analyse the whole face and determine whether restoring cheek or temple volume would be a more consistent, lasting approach.<\/p>\n

Can the nasolabial fold be treated preventively ?<\/h2>\n

An increasing number of patients, often from their thirties, consult for the appearance of the nasolabial fold. It remains subtle but becomes noticeable in raking light or in certain photographs. At this early stage, the goal is not to correct an established wrinkle, but rather to act preventively to preserve volume harmony and avoid a progressive disruption of the skin planes.
This approach is based on injections of small amounts of lightly cross-linked hyaluronic acid, chosen for its suppleness and hydrating properties, to which a Skinbooster<\/a> may be added. The objective is not to fill the fold or alter the facial structure, but to maintain dermal thickness, stimulate collagen production, and slow the onset of the first signs of aging.
This type of treatment requires great precision. Excessive correction could weigh down the face or freeze its expression. That is why this preventive approach should be entrusted to an experienced doctor, capable of performing the procedure accurately and respecting the natural morphology of each patient.<\/p>\n

Nasolabial fold treatment between 35 and 45<\/h2>\n

It is within this age range that treatment of the nasolabial fold becomes most frequently indicated. The fold becomes more noticeable, sometimes even at rest, and the face begins to lose some firmness. At this stage, a targeted and measured correction can restore a refreshed appearance while respecting the natural expression of the face.
The procedure generally involves the injection of moderately cross-linked hyaluronic acid with good cohesiveness. The technique used varies according to needs : linear retro-tracing injection with a cannula, or micro-bolus injection, depending on the depth of the fold. If a loss of projection in the cheeks is observed, a discreet restoration of the midface can also be proposed to enhance overall facial harmony.<\/p>\n

Should a nasolabial fold be treated after 50 ?<\/h2>\n

After fifty, the nasolabial fold most often reflects overall laxity of facial structures. In this context, an isolated injection directly into the fold risks weighing down the area without correcting the actual cause of hollowing. A more structural approach is then required, beginning with restoration of bone and fat support points through non-surgical lifting<\/a> techniques before considering targeted fold treatment at a later stage.
For these patients, injections are frequently spread across several sessions. This staged progression allows the face to adapt gently and ensures a more balanced, natural and harmonious result.<\/p>\n

Why is a consultation essential before treating a nasolabial fold ?<\/h2>\n

Whatever the age, the treatment decision is made during the initial medical consultation. This must include : three-dimensional facial analysis, assessment of the patient's expectations (prevention, rejuvenation, harmonisation), a study of facial mobility, and presentation of different treatment options with their indications, contraindications, effect durations and costs.
The doctor must also clearly explain that nasolabial fold treatment does not necessarily mean complete disappearance of the fold, but harmonious softening that respects facial movement.<\/p>\n

L’\u00e2ge biologique est-il plus important que l’\u00e2ge r\u00e9el ?<\/h2>\n

The concept of the face's biological age is increasingly valued. It relies on an overall facial assessment (skin, volume, tone, symmetry, expression) and establishes a personalised treatment plan independent of chronological age.
A patient aged 34 may have facial tone loss equivalent to that of a patient aged 45 because of particular genetics, a demanding lifestyle or associated conditions (hormonal disorders, oxidative stress). Conversely, some people retain a perfectly firm face with few signs of ageing until 50.
It is therefore biological age \u2014 rather than the patient's actual age \u2014 that guides the appropriate time for nasolabial fold treatment.<\/p>\n

\u00c0 quel \u00e2ge traiter un sillon nasog\u00e9nien chez la femme et chez l’homme ?<\/h2>\n

The age at which treatment of the nasolabial fold becomes relevant also varies according to the patient\u2019s sex. In women, compared to men, the skin is generally thinner and the bone structure smaller, which means the nasolabial fold can appear as early as the thirties. In addition, hormonal variations related to the menstrual cycle, pregnancy, or menopause directly influence dermal collagen quality.
In men, the dermis is thicker, the facial skeleton more voluminous, and the subcutaneous tissues denser. Folds therefore often appear later, but can become deep quickly when aging accelerates (around 45-50 years). Treatment indications must be adapted to skin type, lifestyle, and aesthetic expectations specific to each sex.<\/p>\n

Can a nasolabial fold be treated too early ?<\/h2>\n

Treating nasolabial folds early, sometimes from twenty-eight or thirty, may be justified in certain situations. However, intervening too early or without a genuine indication carries risks. It can cause localised overfilling if selected volumes do not match a still-young face's anatomy, or unattractive rigidity when the gel is too cross-linked for supple, elastic skin. In some cases, injection can also alter natural facial dynamics by hindering expressions, or encourage psychological dependence in very young patients particularly focused on their image.
In this context, the doctor's role is decisive. They must know when to refuse an unnecessary injection, reassure patients by directing them towards more appropriate care such as skin treatments, preventive measures or lifestyle and dietary advice, and offer injections only when genuinely indicated.<\/p>\n

Quel est l’\u00e2ge moyen de la premi\u00e8re injection du sillon nasog\u00e9nien ?<\/h2>\n

According to a retrospective review published in Journal of Cosmetic and Laser Therapy<\/em> (2020), the average age for a first hyaluronic acid injection into the nasolabial fold is 41,6 in women and 46,3 in men. The study also shows that 22 % of patients start before 35, 47 % between 36 and 45, 31 % after 46.
These figures confirm that aesthetic need is most often felt between 35 and 45, but that a growing proportion of younger patients are motivated by prevention. Other studies, particularly those published in Aesthetic Plastic Surgery<\/em>, highlight earlier demand in urban populations exposed to social pressure around appearance, with injections sought from the early thirties.<\/p>\n

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Article written by Dr Romano Valeria<\/a><\/p>\n

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