Nasolabial folds—also known as smile lines or laugh lines—are the creases that run from the sides of the nose to the corners of the mouth. While they are a natural part of facial expression, they can deepen over time due to aging, volume loss, and skin laxity, making the face appear older or more tired.
Many patients seeking treatment for nasolabial folds assume that filler should be injected directly into the lines to smooth them out. However, in many cases, cheek filler can be a more effective and natural-looking solution for softening nasolabial folds.
In this blog, we’ll explore how cheek filler helps improve nasolabial folds, who is a good candidate for this approach, and what you can expect from the procedure.
What Causes Nasolabial Folds to Deepen?
Nasolabial folds are present in everyone, but they tend to become more pronounced due to factors such as:
Aging: As we age, our skin loses collagen and elastin, leading to sagging and deeper folds.
Volume Loss: The natural fat pads in the cheeks shrink and shift downward, creating a more hollow or sunken appearance in the midface.
Gravity: Over time, gravity pulls the skin and soft tissues downward, emphasizing the creases around the mouth.
Facial Expressions: Repeated smiling, talking, and facial movements contribute to the development of smile lines.
Sun Damage: UV exposure can weaken collagen and elastin, accelerating skin laxity and wrinkle formation.
If volume loss in the cheeks is the main cause of your deepening nasolabial folds, treating the cheeks first with dermal filler can lift and soften these lines more effectively than injecting filler directly into them.
How Does Cheek Filler Improve Nasolabial Folds?
Instead of filling the nasolabial folds directly, cheek filler restores volume in the midface, which provides a natural lift that reduces the appearance of deep folds.
How It Works:
1. Restores lost volume
Hyaluronic acid fillers add structure and support to the cheeks, replacing lost fat and collagen.
2. Lifts sagging skin
By enhancing cheek projection, filler reduces the downward pull on the lower face, making smile lines appear softer.
3. Provides a natural result
Rather than simply filling in creases, cheek filler rejuvenates the entire midface, improving facial harmony.
- Prevents an overfilled look
Directly injecting too much filler into nasolabial folds can create an unnatural puffiness around the mouth. Cheek filler enhances facial balance while maintaining natural contours.
This approach is commonly used in liquid facelifts, where dermal fillers are strategically placed to restore youthful volume without surgery.
Who Is a Good Candidate for Cheek Filler to Treat Nasolabial Folds?
You may be a good candidate for cheek filler to soften nasolabial folds if you:
- Have moderate to deep smile lines caused by volume loss in the cheeks
- Notice that your midface appears hollow or sagging
- Want a non-surgical option for facial rejuvenation
- Prefer a natural-looking lift rather than simply filling in lines
- Have good skin elasticity but are starting to notice signs of aging
Who May Need Additional or Alternative Treatments?
Cheek filler alone may not be the best solution for everyone. If your nasolabial folds are caused by skin laxity rather than volume loss, you might benefit from:
- Skin-tightening treatments like radiofrequency microneedling or Ultherapy
- Thread lifts to provide subtle lifting without adding volume
- A combination of cheek filler + nasolabial fold filler for deeper creases
During a consultation, an experienced injector will assess your facial anatomy, skin quality, and aging pattern to determine the best approach for your needs.
What to Expect During a Cheek Filler Treatment
A cheek filler appointment is a quick and minimally invasive procedure. It usually takes about 30 to 45 minutes to complete.
Consultation
First, your provider will conduct a consultation. They will evaluate your facial structure and discuss your aesthetic goals. This step is important to tailor the treatment to your needs.
Cleansing & Numbing
Next, the area to be treated will be thoroughly cleansed. A numbing agent may then be applied to enhance your comfort during the injections. This helps minimize any discomfort.
Precise Injections
After preparing the area, the filler will be injected. The provider will use precise techniques to strategically place the filler into your cheeks. This helps to restore volume and lift.
Blending & Sculpting
Once the filler is injected, the provider may massage the area. This helps ensure smooth and even distribution of the filler. Proper blending is key for a natural look.
Immediate Results
You will notice an instant improvement in your appearance right after the treatment. However, the final results will continue to settle for about 1 to 2 weeks. This allows the filler to fully integrate with your facial tissue.
Recovery & Aftercare
Most patients resume normal activities immediately after treatment, but mild side effects such as swelling, bruising, or tenderness may occur.
To ensure the best results, follow these aftercare tips:
- Avoid alcohol, strenuous exercise, and excessive sun exposure for 24–48 hours.
- Refrain from touching or massaging the treated area for at least 24 hours.
- Stay hydrated to support hyaluronic acid fillers and maintain skin health.
- Sleep with your head elevated the first night to reduce swelling.
Most swelling resolves within a few days, and full results appear once the filler settles.
How Long Does Cheek Filler Last?
Cheek fillers typically last 12 to 18 months, depending on:
- Filler type – Thicker fillers like Juvederm Voluma or Restylane Lyft last longer.
- Metabolism – Faster metabolisms break down filler more quickly.
- Lifestyle factors – Sun exposure, smoking, and poor skincare can shorten longevity.
Regular maintenance treatments can help prolong results and prevent significant volume loss over time.
Cheek Filler vs. Nasolabial Fold Filler: Which Is Better?
The best approach depends on the cause of your smile lines.
Treatment | Best For | Results Last |
Cheek Filler | Volume loss, sagging, facial contouring | 12–18 months |
Nasolabial Fold Filler | Deep static lines, moderate folds | 6–12 months |
Combination Approach | Severe folds + volume loss | Varies |
For younger patients with mild lines, direct nasolabial fold filler may be sufficient. For more advanced signs of aging, a combination of cheek and nasolabial fold filler often provides the best results.
Final Thoughts
Yes, cheek filler can effectively improve nasolabial folds by restoring lost volume and lifting the midface. Instead of simply filling in lines, this approach addresses the root cause of deep smile lines, creating a more youthful, balanced appearance.
If you’re unsure whether cheek filler or nasolabial fold filler is right for you, a consultation with an experienced injector can help determine the best treatment plan for your unique facial structure.
Ready to Refresh Your Look?
Schedule a consultation with Raw Beauty Aesthetics to learn more about how cheek filler can soften nasolabial folds and enhance your natural beauty.