Injecting marionette and nasolabial folds with hyaluronic acid

Depending on the individual characteristics and desired result, the treatment of nasolabial and marionette lines can be effectively combined with complementary procedures, for example:

• Botulinum toxin for relaxing dynamic wrinkles
• Radiesse as a biostimulant for deep structural action,
• Full Face Approach for severe volume loss or complex indications.

Together with you, Dr. Oldag plans a treatment that is precisely tailored to your anatomical conditions, your skin type and your personal preferences.

The duration of the effect varies from person to person and depends on the area treated, skin type, metabolism, and injection depth. For marionette and nasolabial folds, experience shows it lasts between 6 and 12 months. Depending on the individual's initial condition, a touch-up may be advisable after six months – especially for pronounced areas or if maintaining the treatment effect continuously is desired.

The goal is not a lasting result at any cost, but a consistently harmonious appearance that is regularly and carefully maintained.

In aesthetic medicine, the focus is no longer on maximizing results, but rather on the targeted enhancement of individual features. This is particularly evident in hyaluronic acid treatments for nasolabial folds and marionette lines: less is often more. Excessive filling can distort proportions and lead to a mask-like appearance.

Therefore, Dr. Oldag pursues a clear approach: The skin should appear more vibrant without losing its history. Facial features should appear softer without sacrificing their expressiveness. At the private practice Schoenheits-Hand-Werk in Wallerfangen, the focus is always on the individual – with all their unique proportions and characteristics.

Especially with deeper wrinkles like nasolabial folds or marionette lines, it's rarely enough to treat only the wrinkle itself. A holistic approach is much more worthwhile: What is the structure of the cheeks? Are there any volume losses in the cheekbones? How does the chin appear in profile?

In many cases, a more natural result is achieved when, in addition to hyaluronic acid injections into the wrinkle, adjacent areas are also treated – for example, with a biostimulator or gentle jawline contouring. The effect: The face appears softer, more harmonious, and more youthful overall – without any individual treatments being noticeable.

1. Consultation and Preparation: In the initial consultation, Dr. Oldag medical requirements, individual wishes, and explain which form of lip augmentation might be suitable. Before the injection, the area will be cleaned and disinfected, and a local anesthetic gel will be applied if necessary. Any makeup will be removed. Blood-thinning medications should be discontinued beforehand after consulting with the treating physician.

2. The injection: The actual treatment takes about 30 minutes. It is performed using a combination of:

• short, sharp cannulas for precise shape corrections,
• fine dosage when withdrawing to achieve an even, natural result.

3. Aftercare: For the two days following the injection, it is advisable to avoid physical exertion, intense heat, and direct UV radiation to prevent swelling and irritation. Pressure or friction in the treated area should also be avoided. Gentle cooling can be applied if necessary. Swelling and minor bruising are possible but usually subside within a few days.

The longevity of lip augmentation depends on various factors – including skin type, metabolism, lifestyle and the product used.

Experience shows that the results last between 4 and 12 months for most patients. However, due to the high demands placed on the lips during speaking, eating, and facial expressions, an earlier touch-up after 4 to 8 months may be advisable – especially with a small amount of filler or if a consistent volume is desired.

It's important to note that the results fade gradually, not suddenly. A timely touch-up will preserve the natural look.

Dr. Oldag places great emphasis on safe procedures performed in compliance with all medical standards. Treatment is carried out exclusively with approved, high-quality products, under hygienic conditions, and using state-of-the-art injection technology. Possible, temporary reactions include:

• Swelling,
• Bruises,
• Feeling of tension or
• Pressure sensitivity

They are discussed beforehand and supported during aftercare. A natural result with maximum safety is always the focus.

For a harmonious and overall appearance, lip augmentation can be effectively combined with other procedures – for example:

• Botulinum toxin for the treatment of expression lines around the mouth (e.g., perioral wrinkles),
• a slight chin correction with hyaluronic acid for better proportions,
• a full face approach when the overall impression is paramount.

At the private practice Schoenheits-Hand-Werk in Wallerfangen, lip treatments are never about short-lived trends or unrealistic ideals. Instead, your fresh, natural appearance is the focus

Dr. Oldag pursues an approach that understands lips as part of an individual face – not as an isolated feature. The goal is a harmonious result that:

• which underlines the personality
• matches facial expressions
• feels soft
• and without any visible signs of intervention.

Even minor adjustments to the shape or volume of the lips can make the overall appearance more harmonious – often so subtle that it is not perceived as a procedure from the outside. This is precisely the art of subtle aesthetics.