Single-speaker YouTube short (Shereene Idriss) advising that dermal fillers are not recommended for smile lines/nasolabial folds. The speaker warns fillers can produce a flattened 2D appearance on screen, cause a progressively "muzzly" look, and may lengthen the area over time. Instead, the speaker recommends in-office treatments using PRP or PRF (from the patient’s blood) combined with microneedling to stimulate healing via growth factors.
Chapters
If you have smile lines or wrinkles around your mouth and they really bother you, fillers are not the answer. And here is how you can help yourself. Chronically, people often ask me, hey, did you fill your folds? And the answer is always, never. I've never done it for myself, and I hardly ever, ever, ever do it for my patients. When you put filler here, yes, you might look great in two dimension on screen because it looks flat, but in reality, you look like. And as you keep doing it, it starts to look more, until eventually you look muzzly. Muzzly. You get it? Number two, as we age, this area tends to get longer naturally. So when you are putting something in, what happens? It gets longer over time, so you are increasing that length, enhancing a subtle sign, but a sign nonetheless of aging. So instead of using actual fillers, I like to use PRP or PRF in office, which are drawn from our own bodies and our blood. They have growth factors. So when you introduce it in addition to trauma, like with microneedling, it allows your body to heal better, efficiently.