02/06/2026
💉 You corrected the midface… but the nasolabial fold keeps coming back. Why?
Here’s a case that continues to challenge even experienced injectors.
A 42-year-old patient presents with recurrent nasolabial heaviness despite:
▪ Conservative midface filler treatments
▪ Gradual correction over multiple sessions
▪ Good cheek projection and structural support
Yet… the fold returns quickly.
Adding more volume is now starting to compromise facial naturalness.
Before placing additional filler —
👉 What would you reassess FIRST?
A. Pyriform aperture structural support
B. DAO / DLI muscular pull
C. Deep medial cheek fat compartment dynamics
D. Zygomatic retaining ligament tension
Facial ageing and treatment outcomes are often more multifactorial than they appear, and different injectors may approach this scenario very differently.
Curious to hear how you would think through this case — feel free to share your answer or clinical reasoning below 👇