Hyaluronic acid – marionette and nasolabial folds

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

• Botulinum toxin to relax dynamic wrinkles,
• Radiesse as a biostimulator for structural deep action,
• Full face approach for severe volume loss or complex indications.

Together with you, Dr. Oldag will plan a treatment that is precisely tailored to your anatomical features, your skin condition, and your personal preferences.

The duration of the treatment varies from individual to individual and depends on the area, skin type, metabolism, and injection depth. For marionette and nasolabial folds, it typically lasts between six and 12 months. Depending on the individual's initial condition, a top-up treatment may be recommended after as little as six months – especially for more pronounced areas or when the treatment effect needs to be maintained continuously.

The goal is not a lasting result at any price, but rather a consistently harmonious appearance that is carefully maintained on a regular basis.

Aesthetic medicine is no longer about maximizing, but rather about the targeted emphasis of individual features. Especially with hyaluronic acid treatments in the area of nasolabial and marionette lines, less is often more. Excessive filling can distort proportions and lead to a mask-like appearance.

That's why Dr. Oldag pursues a clear approach: The skin should appear more vital without losing its history. Facial features should appear softer without losing their expressiveness. At the private practice Schoenheits-Hand-Werk in Wallerfangen, the focus is always on the individual—with all their individual proportions and characteristics.

Especially with deeper wrinkles like nasolabial or marionette lines, it's rarely enough to treat the wrinkle itself. Rather, a holistic approach is worthwhile: What's the structure of the cheekbones? Is there any loss of volume in the cheekbones? How does the chin appear in profile?

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

1. Consultation and preparation: During the initial consultation, Dr. Oldag medical requirements and individual preferences, and suggest which form of lip augmentation might be appropriate. Before the injection, the area is cleaned and disinfected, and a local anesthetic gel is applied if necessary. Makeup is removed, if present. Blood-thinning medications should be discontinued beforehand, after consulting your attending physician.

2. The injection: The actual treatment takes about 30 minutes and involves a combination of:

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

3. Aftercare: For two days following the injection, it is advisable to avoid physical exertion, intense heat exposure, and direct UV radiation to prevent swelling and irritation. Pressure or friction in the treatment area is also discouraged. Gently cool the area if necessary. Swelling and minor bruising are possible, but usually subside within a few days.

The durability of a lip augmentation depends on various factors, including skin type, metabolism, lifestyle and the preparation used.

Experience shows that the results last between 4 and 12 months for most patients. However, due to the high stress on the lips during speaking, eating, and facial expressions, an earlier top-up after 4 to 8 months may be advisable—especially with a small dosage or when a consistent volume is desired.

It's important to note that the results fade gradually, not suddenly. Timely touch-ups preserve the natural look.

Dr. Oldag places great importance on safe treatment in compliance with all medical standards. Treatments are performed exclusively with approved, high-quality products, under hygienic conditions, and using the latest injection techniques. Possible temporary reactions include:

• swelling,
• bruises,
• Feeling of tension or
• Pressure sensitivity

are addressed in advance and supported during aftercare. A natural result with maximum safety is always the focus.

For a holistically harmonious appearance, lip augmentation can be usefully combined – for example with:

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

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

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

• underlines the personality,
• matches the facial expression,
• feels soft,
• and does not leave any visible traces of intervention.

Even small adjustments to the shape or volume of the lips can make the overall appearance appear more harmonious—often so subtle that it's not perceived as an intervention from the outside. This is precisely the art of subtle aesthetics.