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Nasolabial folds are a common age-related concern that can gradually affect the mid-face and lower facial contours. These lines, which run from the sides of the nose to the corners of the mouth, may deepen over time as the skin loses elasticity and underlying support structures change. This can contribute to a more tired or aged appearance, even when the rest of the face appears relatively youthful.
At Paul Wilson Aesthetics, nasolabial folds treatment begins with a comprehensive assessment of your facial structure, skin quality and underlying causes. Rather than taking a one-size-fits-all approach, Mr Wilson carefully evaluates whether volume loss, tissue descent or a combination of factors is contributing to your concerns, ensuring the most appropriate treatment strategy is selected.
About
What are Nasolabial Folds?
Nasolabial folds are the natural lines that extend from the sides of the nose to the corners of the mouth. While these folds are present in all individuals, they tend to deepen with age due to changes in skin quality, volume distribution and facial support structures.
As the mid-face loses volume and tissues descend, these lines can become more pronounced, contributing to a heavier or more shadowed appearance around the mouth. In some cases, they may be accompanied by mid-face hollowing or changes in cheek contour.
Causes
What Causes Nasolabial Folds?
Several factors contribute to the deepening and development of nasolabial folds:
Mid-Face Volume Loss
With age, the cheeks gradually lose volume due to a reduction in fat and soft tissue support. This loss of volume reduces the mid-face’s natural “scaffolding,” causing the skin to drape more heavily and making nasolabial folds appear deeper and more pronounced.
Tissue Descent
As facial support structures weaken, the soft tissues of the mid-face begin to shift downward due to gravity. This descent increases fullness in the lower face and accentuates the fold between the nose and mouth, contributing to a heavier appearance.
Changes in Skin Quality
A decline in collagen and elastin leads to thinner, less resilient skin that is more prone to creasing and folding. As the skin loses its ability to bounce back, lines such as nasolabial folds become more noticeable and persistent.
Facial Movement Over Time
Daily facial expressions such as smiling, talking and laughing repeatedly use the muscles around the mouth. Over time, these repeated movements can contribute to the formation and deepening of nasolabial folds, particularly when combined with underlying structural changes.
Facial Structure and Proportions
Natural variations in bone structure, cheek projection and facial proportions can influence how prominent nasolabial folds appear. Individuals with less mid-face support or flatter cheekbones may notice these folds earlier or more prominently.
External and Lifestyle Factors
Environmental and lifestyle influences such as sun exposure, smoking, stress and weight fluctuations can accelerate the ageing process. These factors can further impact skin integrity and volume distribution, making nasolabial folds more visible over time.
Treatment
When to Consider Professional Treatment for Nasolabial Folds?
Professional treatment may be appropriate when nasolabial folds become more noticeable, create unwanted shadowing around the mouth or affect overall facial balance. For some individuals, these changes may appear gradually, while for others, they may become more apparent over a shorter period.
While skincare can improve skin quality, it is often insufficient to address deeper structural changes, such as volume loss or tissue descent. A professional assessment allows for a more targeted approach, identifying the underlying cause and selecting a treatment that aligns with your anatomy and desired outcome.
Options
Nasolabial Folds Treatment at Paul Wilson Aesthetics
Treatment for nasolabial folds depends on the underlying cause, with options ranging from volume restoration to advanced surgical correction. Mr Paul Wilson offers a personalised approach, selecting the most appropriate treatment based on facial structure, degree of ageing and desired outcomes.
Deep Plane Facelift
For moderate to advanced nasolabial folds associated with tissue descent, a deep plane facelift is considered the most comprehensive solution. This technique repositions the deeper facial layers, lifting the mid-face and reducing the prominence of nasolabial folds. The result is a more natural, long-lasting improvement without an over-tightened appearance.
Mid-face Lift
A mid-face lift, or cheek lift, is highly effective at improving nasolabial folds (the lines from the nose to the corners of the mouth) because it addresses the root cause of the fold rather than just filling it.
Here is how a mid-face lift helps:
- Repositions Descended Fat Pads: Aging causes the malar fat pads in the cheeks to sag downward, deepening the creases beside the nose. A mid-face lift vertically elevates these fat pads back up onto the cheekbones, removing the weight that creates the fold.
- Smoothes the Mid-Face: By lifting the cheek tissues higher, the transition between the lower eyelid and the cheek becomes smoother, which softens the overall appearance of the nasolabial fold.
- Restores Volume Naturally: Instead of relying on fillers, a mid-face lift uses your own natural tissue to restore fullness to the upper cheek, which directly reduces the shadow and depth of the nasolabial fold.
- Provides Long-Lasting Results: Unlike dermal fillers, which typically last 6–18 months, a surgical mid-face lift provides lasting results, often for a decade or longer.
When a Mid-Face Lift is Recommended
This procedure is best suited for patients in their 40s to 60s who have noticeable cheek descent, hollowing under the eyes, and deepened smile lines, but minimal jowling or neck laxity. It is frequently performed in conjunction with a lower eyelid lift (blepharoplasty) to provide comprehensive rejuvenation of the central face.
HA Dermal Filler
Hyaluronic acid (HA) filler can soften nasolabial folds by restoring volume. Treatment is often focused on supporting surrounding structures to achieve a more natural result. This option is typically suited to mild to moderate folds and provides temporary improvement.
Microfat Grafting
Microfat grafting uses the patient’s own fat to restore lost volume and improve facial support. Fat is carefully harvested, purified and strategically reintroduced into areas such as the cheeks to enhance contour and reduce the appearance of nasolabial folds. This approach offers a more natural alternative to synthetic fillers, with results that can be longer-lasting depending on individual factors.
Choose Us
Why Choose Paul Wilson Aesthetics for Nasolabial Folds Treatment?
At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.
His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.
From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you. Supported by a dedicated team, you can expect a seamless and attentive patient experience, where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.
FAQ
Frequently Asked Questions
How do you get rid of nasolabial folds?
The most appropriate treatment for nasolabial folds depends on the underlying cause. For mild to moderate folds, treatments such as HA dermal filler or microfat grafting can help restore volume and soften their appearance. For more advanced cases of tissue descent, a deep plane facelift may be recommended, as it repositions deeper facial structures and provides longer-lasting results. A consultation is essential to determine the most suitable approach.
Are nasolabial folds normal?
Yes, nasolabial folds are a natural part of facial anatomy and are present in everyone to some degree. They tend to become more noticeable with age as skin elasticity decreases and facial volume shifts, but their depth and prominence vary between individuals.
At what age do nasolabial folds appear?
Nasolabial folds can become more noticeable from the late 20s to the 30s, though this varies depending on genetics, facial structure, and lifestyle factors. They typically deepen over time as volume loss and tissue descent progress.
Can fillers remove nasolabial folds?
Dermal fillers can soften and improve the appearance of nasolabial folds, but they may not completely eliminate them, particularly in more advanced cases. Treatment is usually focused on restoring volume in the surrounding areas, such as the cheeks, to support the skin and reduce the depth of the folds.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation where Mr Wilson will assess your concerns, discuss your goals and determine which treatment option is the most appropriate option for you.
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Open Preservation Rhinoplasty | Before & After
This patient presented for a consultation with both functional and aesthetic concerns.
She had experienced several previous nasal injuries, including a horse-riding accident, a netball incident, and a facial injury. Although she had undergone a septoplasty in 2022, she was still experiencing intermittent breathing difficulties, shifting between the right and left sides.
Aesthetically, her primary concerns were a dorsal hump and the droopiness of her nasal tip.
On assessment, her nose was reasonably straight, with a dorsal hump created by a combination of prominent nasal bones and increased septal height. There was also slight nostril asymmetry and some external valve collapse on the right side, meaning the outer wall of the nostril could collapse slightly during sharp, deep breathing.
A CT scan revealed a relatively straight septum, with only a small posterior deviation, clear sinuses, and normal-sized turbinates.
An open preservation rhinoplasty was performed.
The plan was to refine the dorsal hump, create a gentle curve to the nose, improve the tip position, and achieve as much symmetry as possible while respecting the patient`s existing anatomy.
Rhinoplasty planning is never about chasing perfection. The aim is to make a considered improvement that looks balanced, functions well, and remains in keeping with the rest of the face.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A rhinoplasty consultation is not just about examining the nose.
It is about understanding the patient, their anatomy, their breathing, and their reasons for considering surgery.
In this video, Mr Wilson explains what happens during a rhinoplasty consultation at Paul Wilson Aesthetics.
Patients are seen personally by Mr Wilson at Northwood Hospital in Bristol. The consultation includes a full medical history, a discussion about aesthetic concerns, breathing and functional symptoms, previous injuries or surgery, and the support available at home after the procedure.
The nose is then carefully assessed, as rhinoplasty always addresses both form and function.
Two-dimensional photographs are taken for medical records, and 3D Vectra imaging may also be used to aid in planning the procedure. This allows Mr Wilson and the patient to visually discuss possible changes and ensure expectations are aligned before surgery.
The aim is not to promise a precise, screen-generated result.
It is to understand what the patient hopes to achieve, what is surgically attainable, and how to meticulously plan the operation.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Open Septorhinoplasty | Before & After
This patient had previously undergone rhinoplasty and otoplasty at the age of 23, which included the reduction of a dorsal hump.
Over time, he began to notice increasing droopiness of the nasal tip. He had also broken his nose as a child during gymnastics, although his breathing was otherwise good.
On assessment, he presented with a long, straight nose and a dependent, droopy, and slightly asymmetric tip. There was a mild deviation of the nose to the left, but no remaining bony hump. The septum appeared straight.
One of the key findings was the acute angle between the base of the nose and the upper lip. Simply lifting the tip helped to improve the appearance of the nose and also made it appear straighter.
In this case, an open septorhinoplasty was performed under general anaesthetic.
Revision rhinoplasty requires careful planning, particularly when the nose has been previously operated on. The existing structure, scar tissue, tip support, and previous surgical changes all need to be considered before any further refinement is made.
The aim was to improve tip position and support, address the asymmetry, and create a more balanced nasal profile while working with the patient`s existing anatomy.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A bump on the bridge of the nose can change the entire facial profile.
For many patients, a dorsal hump is the feature they notice most in side-profile photos or from certain angles. It may be part of the natural nasal structure, or it may appear more pronounced after trauma or injury.
However, a dorsal hump is never treated as just a "bump".
The bridge, tip, septum, nasal bones, and facial proportions all need to be assessed together before any surgical plan is made.
At Paul Wilson Aesthetics, rhinoplasty planning focuses on refining the nasal profile in a way that remains balanced with the individual face.
Depending on the anatomy, this may involve preservation rhinoplasty or structural rhinoplasty.
The aim is not a perfect nose.
It is a considered, proportionate result that suits the patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalhump #rhinoplastybristol #preservationrhinoplasty #northwoodhospital
When rhinoplasty does not go as expected, subsequent operations are rarely simple.
Revision rhinoplasty often involves navigating scar tissue, altered anatomy, reduced cartilage support, and the outcomes of previous surgery.
In this reel, Mr Wilson explains why patients seek him out for revision rhinoplasty and why this type of surgery demands meticulous planning, extensive experience, and candid discussions.
Additional support may sometimes be required, utilising cartilage from the ear or rib, fascia, or fat grafting.
This also underscores the importance of aftercare. Should concerns arise post-surgery, patients need assurance that they will receive proper review, support, and care.
Revision rhinoplasty is not merely about re-shaping the nose.
It involves comprehending previous interventions, assessing current possibilities, and meticulously planning the subsequent stage.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #rhinoplastysurgery #bristolplasticsurgeon #northwoodhospital
A blocked nose is not always "just congestion".
A deviated septum can make one side of the nose feel constantly blocked, affect airflow, and make breathing feel uneven.
The septum is the internal wall of bone and cartilage that separates the two nasal passages. When it sits off-centre, one side may become narrower, which can make breathing more difficult.
It is not always visible from the outside.
This is why assessment matters. The nose needs to be examined for both structure and function, especially when symptoms are linked with previous injury, nasal asymmetry, or ongoing obstruction.
Treatment may involve septoplasty to improve airflow, or septorhinoplasty when breathing concerns and external nasal shape need to be addressed together.
The aim is to understand what is causing the obstruction and choose the most suitable approach for the individual patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Dorsal Preservation Rhinoplasty | Before & After
This young patient desired refinement of her nasal profile and tip, aiming for a result that remained balanced with her facial features.
Her primary concerns included a prominent dorsum and a bulbous nasal tip.
In this case, an open tip rhinoplasty was performed, utilising piezo-electric surgery for surface reduction of the dorsum. A septal projection graft was also employed to support and define the nasal tip.
Piezo-electric surgery facilitates highly precise work on the nasal bones. This is particularly beneficial when reshaping the bridge of the nose, as it permits controlled refinement while preserving crucial surrounding structures.
The tip also necessitated meticulous planning. A bulbous tip is not merely reduced; it requires reshaping and support to ensure the final result remains stable as the nose heals.
This is where dorsal preservation rhinoplasty and tip definition must work in conjunction. The objective is not to create an entirely different nose, but to refine the existing structure in a manner that complements the individual`s face.
The result displayed here represents an stage of that process, with healing progressing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalpreservationrhinoplasty #rhinoplastybristol #piezoelectricsurgery #northwoodhospital
Rhinoplasty is not a single technique.
It is a series of decisions.
In this reel, Mr Wilson explains the difference between structural rhinoplasty and preservation rhinoplasty, and why preservation techniques have become such a valuable option in suitable primary cases.
The principle is simple: where possible, preserve the natural bridge of the nose rather than dismantling and rebuilding it.
For the right patient, this can allow refinement of the nasal profile while maintaining more of the existing nasal structure.
However, suitability is crucial.
If the nose is very crooked, has been previously broken, or the patient is concerned about the frontal view, a structural or hybrid approach may be more appropriate.
That is why consultation and assessment are so important.
The technique should fit the patient, not the other way around.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A second rhinoplasty is not simply a repeat of the first.
Revision rhinoplasty often means working with a nose that has already healed, scarred, and changed after previous surgery.
Sometimes the concern is visible; sometimes it is functional; often, it is both.
The nose may need more support, better definition, improved symmetry, or correction of breathing issues.
In some cases, grafting may be required to rebuild or strengthen areas that no longer have adequate support.
This is why secondary rhinoplasty needs time, experience, and a very clear plan.
The goal is not to chase perfection.
It is to make the next operation as careful, realistic, and considered as possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #secondaryrhinoplasty #rhinoplastysurgery #northwoodhospital
Preservation Rhinoplasty with Septoplasty | Before & After
This patient presented with a previously fractured septum, leading to breathing difficulties, a dorsal hump, and a bulbous nasal tip.
In such cases, rhinoplasty extends beyond merely altering the external appearance of the nose; the internal structure is equally crucial.
The procedure performed was a preservation rhinoplasty with septoplasty. The objective was to enhance the shape of the nose while simultaneously addressing the septum, which had been impacting her breathing.
A preservation approach involves meticulously working with the existing nasal structure rather than simply excising tissue. The bridge, tip, septum, and overall support of the nose all require integrated consideration.
What has been particularly gratifying in this case is the post-operative feedback from the patient. She expressed continued satisfaction with her result, consistently recommends Mr Wilson, and feels the surgery made a significant difference to her. She also noted that while she occasionally experiences some breathing difficulty, she was informed that her nose had been considerably improved from its initial state.
Such feedback is always valued, as rhinoplasty is a protracted process. The outcome encompasses not only the day of surgery but also the planning, healing, trust, and long-term results.
Patient images and feedback shared with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #preservationrhinoplasty #septoplasty #rhinoplastybristol #northwoodhospital
Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy — despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
🔹 Mastopexy (breast uplift) — excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an “anchor” pattern scar.
🔹 Full abdominoplasty (tummy tuck) — removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because she’s naturally slim and athletic, no liposuction was needed — tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. She’s especially delighted with her new core definition. 💪
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
📍 Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
