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Nose-to-mouth lines (nasolabial folds) and mouth corner lines (marionettes) develop as a natural part of the aging process. This is mainly because we have lots of little 'fat pads' under the skin on the face and over time gravity pulls these slowly downwards, creating the nasolabial and marionette folds when they have settled down as far as our other facial anatomy will allow. Also, we get thinning of the soft tissue centrally on the face, which further contributes to this appearance of a 'step' in these two key areas. Thankfully, if these do bother us, we've got a safe and modern technology, based upon the natural substance already present throughout our face and body - hyaluronic acid - to improve the appearance of these lines and folds. Nasolabials and marionettes are often treated together, as needed by the individual client. Think of these not as 'enhancement' (such as with the lips and cheeks) but as 'replacement'; restoring a more youthful contour to the face.

Dr. Michael Aicken has been using hyaluronic acid gel (dermal filler) to subtly (or radically, depending on client request) restore both nasolabial and marionette lines to their former glory, for over 16 years. He has taught his own techniques to thousands of trainees from around the world. Treatments are tailor-made to suit your needs and can include the evening out of asymmetries. Nasolabial and marionette lines treatment can also be given in conjunction with any of our other skin booster or dermal filler treatments - it's all up to you, and Dr Aicken will guide you through the process of deciding. 

nasos and marionettes before and afters .jpg
Is nasolabial and marionette filler right for me?


Nose-to-mouth (nasolabial) filler is best not done to extreme. These lines tend to start in our 20s and gradually deepen over time. An explanation Michael often gives is that it won't look right to have the nasolabial folds of a 20 year old, when you are 70, but, if it can be tastefully done, why not have a few tweaks carried out safely and in a balanced way, to knock off a decade or two?

Marionette lines don't usually start until our late 30s or into our 40s, so Michael usually advocates a slightly less subtle approach to improving their appearance. 


Remember - results can be as subtle or as pronounced as you like and Michael will discuss this with you during your consultation.



How long does it last?


Results are instant and in these areas typically last 9-12 months.


Remember that filler can be topped up or dissolved if needed at any time.



Will it hurt?


strong anaesthetic numbing cream will be applied to the area ahead of injecting. This will minimise discomfort. The filler itself also contains lidocaine which will optimise comfort levels throughout. Additionally, as Michael has vast experience in injecting dermal filler, his injection technique will also limit discomfort.



What volume to go for?


This is between you and Michael, and he will advise you during your consultation. Every patient is different, and the results can be as subtle or as pronounced as you like. Most clients will benefit from just 1ml of filler but often 2-3 are needed if more radical changes are desired. 1ml can be administered and the results viewed immediately before the decision is made to stop there or continue with more.



What will it cost?


Our dermal filler at Astral Skin Clinic is £230/ml in one area, then £100/ml in the same area after that.



What is the downtime?


As with all injections, it is possible that some slight swelling or bruising will occur for 2-3 days. We ask that you try to refrain from touching your face or applying cream or lipstick directly after the procedure. That being said, as treatments go, there is very little downtime, and after 12 hours makeup can be applied.

Feel ready to book with us OR would you like some more questions answered? If so, click the link below to contact us via Whatsapp or email. We can book you directly into a clinic appointment or arrange a free telephone consultation with Dr Aicken.

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