Smile Lines & Nasolabial Folds
Holistic evaluation of deepening nasolabial folds and marionette lines, addressing both mid-face cheek support and localized dermal creasing.
Anatomical Assessment & Clinical Approach
Nasolabial folds (running from the sides of the nose to the corners of the mouth) and marionette lines (running from the mouth corners toward the chin) are natural anatomical creases. However, they deepen significantly over time due to two factors: descent of the mid-face malar fat pads above the fold, and bony resorption at the piriform fossa (the pear-shaped bone aperture at the base of the nose).
At Mapp Aesthetics in Miranda and Warwick Farm, we never blindly chase or overfill the nasolabial fold in isolation, which can make the upper lip look heavy or simian when smiling.
Instead, our clinicians evaluate the deep piriform fossa foundation, mid-face cheek support, and superficial dermal crease together to soften shadowing while keeping your smile completely natural.
Anatomical Structures Evaluated
- Deep piriform fossa (bony foundation beside the nasal alar base)
- Nasolabial crease and subcutaneous dermal junction
- Oral commissures and labiomandibular (marionette) folds
- Upstream mid-face malar fat pad support
Common Patient Indications
- Deepening shadows running from the nostrils to the corners of the mouth
- Static lines etched along the smile crease even when the face is at rest
- Downward-turning corners of the mouth (oral commissures) creating a sad expression
What Happens During Your Appointment
01. Cause-vs-Symptom Anatomical Diagnosis
We determine what percentage of your nasolabial fold is caused by mid-face cheek descent versus deep piriform bone loss versus superficial dermal creasing.
02. Vascular-Safe Cannula & Piriform Protocol
Because the facial and angular arteries course near the nasolabial fold, our clinicians adhere to strict anatomical plane and micro-cannula safety protocols.
Post-Visit Integration & Aftercare Guidelines
- Mild tenderness beside the nostrils or along the smile line for 48 to 72 hours.
- Avoid exaggerated wide dental movements or facial massages for 7 days.
All cosmetic and skin procedures are elective and carry potential clinical risks and side effects, including bruising, swelling, asymmetry, and localized sensitivity. Individual outcomes vary depending on anatomy, skin biology, and medical history, and results cannot be guaranteed. A comprehensive in-person consultation is required prior to any procedure to assess suitability and obtain informed consent.
Related Clinical Journal Guides
Frequently Asked Questions
Should nasolabial folds be erased completely?
No. Every human face has a natural nasolabial crease when smiling; erasing it completely looks unnatural. The clinical goal is to lift the deep shadow at rest so you look rested and refreshed while preserving natural smile mechanics.