Concern · face

Nasolabial folds + marionette lines

nasolabial folds Bangkok · smile lines treatment · marionette lines filler · deep folds around mouth

The short answer

Nasolabial folds (the lines from nose to mouth corner) and marionette lines (from mouth corner down to chin) deepen with mid-face volume loss + skin elasticity decline. Treatment requires precise depth placement: HA filler in the DEEP DERMIS layer of the fold (not surface) — superficial injection causes Tyndall effect (visible blue tint under skin), the most common new-physician mistake. Product choice: Restylane Defyne (designed for dynamic lines), Juvederm Volift, or Neuramis. Typical volume: 0.5-1cc/side for nasolabial, 0.3-0.5cc/side for marionette. Pricing ฿9,999-฿11,999/cc. For prevention, biostimulators (Sculptra/Profhilo) maintain mid-face support over 2+ years.

Common questions
Is this a filler problem or a sagging problem?+
Both produce the same line, and they are treated differently. A fold that is mostly lost volume answers to filler or to a collagen biostimulator; a fold that appears because the cheek above it has descended answers to lifting instead, and filling it will look heavy. That is the single judgement an assessment is for.
How long does it last?+
Hyaluronic-acid filler in this area generally lasts 9–18 months depending on the product and the site. A biostimulator works differently: Sculptra builds gradually over 3–6 months and can last up to about 2 years, because the change comes from your own collagen rather than from gel volume.
Can it be treated in one visit?+
Filler is a single 30-minute session, and the change is visible from the day of treatment. A biostimulator is a course, not one visit, and the result appears over months. If the fold is being caused by descent rather than volume, the plan may not be an injection at all.
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Siam Square One

Siam Square One flagship — opposite Siam Paragon, skywalk from BTS Siam Exit 3, in the CBD heart of Bangkok (Pathum Wan). 1-minute walk from BTS.

226/1 Rama 1 Road, 2F, Pathum Wan District, Bangkok 10330 — Siam Square One, opposite Siam Paragon · BTS Siam Exit 3
Walking distance to
  • ●BTS Siam (Exit 3)1m
  • ●Siam Paragon2m
  • ●Siam Discovery3m
  • ●Siam Center3m
  • ●Siam Kempinski Hotel4m
  • ●MBK Center5m
  • ●Chulalongkorn University8m
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