There are typically a couple of types of wrinkles on or around the nose that most individuals are concerned about. Along the upper third of the nose and nasal bridge, some individuals develop wrinkles that are commonly known as bunny lines. Bunny lines can be a concern to many individuals. Another concern affecting just about everyone at one time or another is deepening of nasolabial folds. Nasolabial folds are lines or folds that run from the nose to the corners of the mouth.
Medical practitioners commonly treat wrinkle conditions on and around the nose with advanced dermal fillers, such as Juvederm® Ultra, Radiesse® and Restylane®, as well as BOTOX®.
Bunny lines are wrinkles on the upper bridge of the nose or on either side of the nose that are caused by hyperactivity of nasalis muscles when smiling or laughing. They get the name bunny lines because they are formed from twitching the muscles of the nose. You can scrunch your nose to see bunny lines. These wrinkles may be horizontal, vertical or diagonal. Bunny lines are often superficial or shallow.
Medical practitioners almost always treat bunny lines with a small amount of BOTOX® placed on either side of the nose, as well as in the transverse line that sometimes runs across the bridge of the nose. Advanced dermal fillers, such as Juvederm® or Restylane®, may also be used to treat bunny lines. Dermal fillers, when used, are placed under the skin beneath the lines to fill in a portion of the lines.
Nasolabial folds are deep creases that run from the corners of the nose down to the corners of the mouth. Nasolabial folds may sometimes arc around the corners of the mouth to
form parentheses-looking curves. Nasolabial folds are usually a single crease, but can also be comprised of more than one line.
Nasolabial folds are an early sign of aging in many individuals. A variety of factors can contribute to the formation and severity of the folds. Over time, loss of facial collagen and elastin, as well as skeletal degradation and downward migration of the cheek pads can contribute to deepening folds. Exposure to environmental factors may also contribute to nasolabial folds. Individuals with more prominent, fatty cheek pads may be predisposed to nasolabial folds.
There is an abundance of literature about correction of nasolabial folds because most advanced dermal fillers are FDA-approved for treatment of nasolabial folds. However, most of the literature discusses only direct treatment of the folds. Direct treatment is the most common and accepted practice among medical practitioners. In this method, nasolabial folds are treated by dermal fillers,
such as Juvederm® Ultra Plus, Perlane® or Radiesse®, underneath the fold itself. This technique will essentially push the fold up and alleviate the appearance of a fold, and in some instances, remove the fold entirely.
In addition to direct treatment of the nasolabial fold area, lifting the upper face or adding volume to cheeks and other areas of the face will essentially pull back on the fold over time for a gradual and naturally improved appearance. Therefore, a growing number of medical practitioners also treat nasolabial folds by treating other areas of the face such as the cheeks.
It is advisable to seek out a medical practitioner who has extensive experience with treatments involving advanced dermal fillers and BOTOX®. The more experience a medical practitioner has, the more likely a medical practitioner will understand the critical subtleties of injection technique and placement to achieve natural contours given an individual’s unique facial characteristics. We have determined a number of medical practitioners nationally who have extensive experience or training with dermal filler medical procedures. To see a list of experienced healthcare professionals in your area, or to receive a special discount on your procedure, click here.
Mark Berkowitz M.D. , Sterling Heights, MI ~ Arturo Guiloff MD, Palm Beach Gardens, FL
Steven J. Pearlman MD FACS, New York, NY ~ Daniel Rousso MD FACS, Birmingham, AL
James White MD FACS, Chattanooga, TN ~ Yvette Suarez MD, Wesley Chapel, FL
Larry Schlesinger MD, Kailua, HI ~ Mary E. Hurley MD, Dallas, TX