1. What is a betel groove?
Marginal grooves are folds that occur from the corners of the mouth in a long diagonal line down to the lower jaw. They occur in both men and women. They are wrinkles that make you look older than you are, but can be corrected by injecting fillers into the marginal grooves.
# The saliva groove is divided into 4 grades according to the severity level >
2. What causes saliva grooves?
(2.1). Mandibular & Dentoalveolar reabsorption.
As we age, the lower jawbone will shrink and the teeth will sink, causing the nasolabial fold to sink as well, resulting in a fold-like shape and a downturned mouth.
(2.2). Increased fat and sagging face (Subcutaneous fat hypertrophy & herniated jowl fat pad ) :
As we age, our bones weaken, causing the fat and muscles that we have to support to shift, causing the face to look droopy, with fat gathering around the jawline, an unclear jawline, and a sagging face that looks older.
(2.3). Thinner skin:
As skin thins, collagen and elastin beneath the skin lose their effectiveness, leading to wrinkles and folds.
3. How to inject filler into the nasolabial fold?
involves assessment and analysis of the causes of marionette lines, followed by grading the severity of the lines to address the root cause and achieve the most natural-looking results.
Grade 1-3: Inject filler to fill in the marionette lines and corners of the mouth, selecting a product that matches the patient's skin type for a smooth, natural look without lumps.
Grade 4-5: This is caused by increasing age and the face droops. Therefore, in addition to injecting filler to fill in the nasolabial folds, additional procedures such as injecting filler to lift the face (filler lifting) or using a face-lifting machine (HIFU) are required for the best results.
This method can be said that after the injection, the skin will be plump and firm immediately.
**** The important thing that the doctor would like to recommend to all patients is ****
If we can correct the upper face (Midface) well, it will result in the lower face (Lowerface) improving to some extent, thus saving on filler injections in the lower face.
4. How many days after filler injection will the nasolabial folds swell?
There will be a little swelling for about 2-3 days after the treatment, and it will gradually disappear on its own. It takes about 1-2 weeks for it to settle in. During this time, the doctor does not recommend eating pickled foods because they contain a lot of sodium. Avoid drinking all types of alcoholic beverages to reduce the risk of swelling. After that, the doctor will make another appointment to see the results.
5. How long does filler injection in the nasolabial fold last?
It depends on the type and brand of filler you choose. Generally, it will last for 12-18 months and depends on how you take care of yourself after the filler injection. Try to avoid behaviors that cause the filler to break down faster.
6. What should you do before and after injecting filler into your nasolabial folds?
Guidelines for conduct before filler injections and thread lifts (1 week before the procedure) =>
1. Aspirin, NSAIDs such as Ibuprofen, Diclofenac, Ponstan should be stopped for 1 week before the procedure and a doctor should be consulted before stopping the medication.
2. You should stop taking St. John Wort, Ginko biloba, Primrose oil, Garlic, Ginseng, and Vitamin E for 1 week before the procedure.
3. You should avoid using exfoliating creams such as Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, or any type of “Anti-Aging” cream for 3 days before the procedure.
4. Avoid waxing, peeling, pulling or shaving the hair in that area for 3 days before the procedure.
5. If you have a facial massage or laser course, you should do it at least 3 days before the filler injection or thread lift because you need to wait another 2 weeks after the procedure.
6. If you have any chronic diseases or other regular medications, you should prepare the information to inform the doctor before the procedure.
Guidelines for conduct after filler injection =>
1. Avoid laser, facial sauna, facial massage, or heat application on the face for at least 1 month.
2. Avoid taking medications or vitamins that increase bleeding, such as aspirin, vitamin E, and ginkgo biloba, during the first week.
3. Avoid drinking alcoholic beverages, liquor, beer, and smoking for at least 2 weeks.
4. Avoid heat on your face, such as blow drying your hair and washing your face with warm water.
5. Drink plenty of water, at least 2-3 liters per day, as the filler will swell up, making it last longer.
6. Do not press, massage, rub, or mold the area where the filler was injected to reduce the movement of the drug to unwanted areas.
7. You can wear makeup as usual after the filler injection.
