Nasolabial Fold & Marionette Lines Using Dermal Filler

IIWAM - International Institute of Wellness & Aesthetic Medicine is a One-Stop Centre of Excellence in Wellness & Aesthetic Medicine that provides Education, an Online Library & Learning Portal, and Advanced Cosmetic Procedures. IIWAM is destined to be the Future of Aesthetic Medicine.

IIWAM Aesthetic Education (previously known as Aesthetic Academy Asia) provides evidence-based Aesthetic Medical courses with Dual International Certificates for Medical Doctors, Dentists, Nurses & Certified Aestheticians.

In our previous article, we spoke about using dermal fillers that can also be used for a non-surgical brow lift.

(Read the blog here- Non-Surgical Brow Lift Using Fillers)

Do you know that dermal fillers can also be used for a non-surgical nasolabial fold & marionette lines correction?

About nasolabial fold & marionette lines

Nasolabial folds are the lines that extend from the outer corners of the nose down to the outer corners of the mouth. Marionette lines are vertical lines that extend from the outer corners of the mouth down to the jawline on either side of the chin.

With age, people begin to experience a depletion of skin tissue and facial volume loss that often results in deep creases around the mouth area. Aging is one of the main reasons why most people get marionette lines and is a natural reaction to the loss of collagen and hyaluronic acids within the skin.

About dermal fillers

Dermal fillers are injectables that are completely biodegradable, biocompatible, and 100% natural. They are injected beneath the skin to restore lost volume, smoothen lines, soften creases, or enhance facial contours. The most commonly used dermal fillers are made from cross-linked hyaluronic acid. They are temporary and reversible. With the advancement in technology, and depending on the type, fillers are capable of lasting effectively up to twelve months at a time.

Reducing the appearance of such lines and wrinkles can be done by augmenting the soft facial tissues with dermal fillers, which helps to stimulate the body's natural collagen production over some time. This in turn helps to restore the overall youthful appearance.

(Also read: Skin Booster Vs Dermal Fillers)

How are nasolabial fold & marionette lines using dermal filler done?

When injecting into the nasolabial fold, the entry point is anesthetized with an infraorbital nerve block. The line between the alar base (which becomes the base of the triangle) and the oral commissure (which becomes the vertex of a triangle) is connected. The vertex of the triangle is punctured using a 25-gauge needle. Next, a small amount of filler is injected into the deep pyriform space, immediately above the periosteum, with the retrograde linear threading technique using a blunt cannula and then into the supraperiosteal layer. Deep pyriform space is filled, and the deep fat layer is also injected into the filler using linear threading and fanning techniques. Subsequently, a small amount of fillers is also injected into the superficial fatty and subdermal layers using linear threading and fanning techniques. As mentioned earlier, a small amount of filler is injected and the area is massaged slowly and gently during the application of each linear threading technique. This helps the skin cells gauge the filler material’s interaction with the tissue and allow the patient to adjust to the injection process.

For marionette lines, the subcutaneous-fat-rich jowl area is injected within a right triangle with the 3 vertices, 1 cm lateral to the oral commissure, 1 cm above the mandibular border, and 1 cm anterior to the masseter border. A 30-gauge needle is inserted perpendicularly and small amounts of dermal filler is injected subcutaneously 1 cm apart, slowly and gently.

(Also read: Training in Lip Fillers at Aesthetic Academy Asia)

Risks & benefits of using dermal filler

Dermal fillers give instant, natural-looking results that last for about a year. They are safe, fast, and almost painless. The results are natural-looking and almost free from any complications.

However, injecting fillers should be performed by certified aesthetic practitioners who are skilled in this treatment. This is crucial because when injected into the wrong plane, dermal fillers can cause various vascular complications leading to blindness, stroke, and even death.

 Advanced Aesthetic courses in Filler

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About IIWAM training in nasolabial fold & marionette lines treatment using dermal fillers

As always, the practitioner must undergo proper training in facial aesthetics to understand the procedure, the product, and the patient. Equally, he/she must know the benefits, risks, and countermeasures to correct complications. IIWAM also offers an Online Aesthetic Certification programme for Non-Surgical Body Sculpting, Advanced Dermal Filler Training (Restylane, Juvéderm, Teosyal, Bellotero), Advanced Botulinum Toxin Training (Botox, Dysport, Xeomin), Skin Booster Training (Restylane Skin Booster, Profhilo, Rejuran), Platelet Rich Plasma (PRP) Training, and Threadlift Training (PDO, Aptos, Happy Lift).

At IIWAM, our trainers pay utmost attention to teaching the following subjects for non-surgical nasolabial fold & marionette lines correction under Advanced Aesthetic courses in Filler.

  • Anatomy behind nasolabial fold & marionette lines

  • Methods & techniques for non-surgical nasolabial fold & marionette lines treatment using dermal fillers

  • How to inject dermal fillers

  • Various complications that may arise during the course of treatment

  • How to avoid those complications

  • How to treat those complications

About IIWAM Aesthetic Education

At IIWAM, we provide an International Aesthetic Certification program and also Advanced Online Aesthetic Courses for Doctors, Dentists, Nurses, Aestheticians, and Spa Owners in the field of Aesthetic Medicine.

Our Institute is based in Malaysia and has international students from the Philippines, Myanmar, Cambodia, India, Indonesia, and other parts of Asia. With our insignia of “Be Certified, Be Recognized”, we develop knowledgeable, skilled, and confident aesthetic practitioners of international repute. Our Aesthetic training focuses on teaching the principles of Aesthetic procedures before venturing into Aesthetic clinical skills. IIWAM training Programs are a combination of Onsite Training, LIVE Online Webinars, and Online Learning. IIWAM is the first Institute in the World to have its Programs assured by City & Guilds of London and certified by European International University. IIWAM is also a registered CPD Training provider with CPD Standards Office in the UK and by CPD Malaysian Medical Association.

Onboard is our Assoc. Prof Dr. Morthy, the lead trainer, medical director of the International Institute of Wellness & Aesthetic Medicine (IIWAM), formerly known as Aesthetic Academy Asia (

In the Aesthetic part of our Institute, we provide Advanced Aesthetic Medical Procedures that are Safe, Effective, and Affordable, offering a wide range of specialized treatments for All Your Aesthetic Needs.

(Also read: Facts About Dermal Filler Injections)