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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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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
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 silicone 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
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: What’s the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath — keeping your natural dorsum fully intact. 👃
Why people love it 💕
✅ More natural front view (no widening!)
✅ Preserves your dorsal aesthetic lines
✅ Fewer grafts needed
✅ Quicker recovery & less bruising 🤍
✅ Smoother long-term results
The fine print 📝
⚠️ Hump recurrence is the #1 risk
⚠️ Best for straight noses with small/medium humps
⚠️ Technically harder — surgeon experience is everything
⚠️ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real — if you’re a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. 🤍
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
🦋From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose — high radix, dorsal hump, an over-projected tip and a hanging columella. ✂️ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? 👇
✅ Accredited BAAPS Plastic Surgeon
✅ Dual-qualified
✅ Preservation rhinoplasty specialist — less disruption, more natural outcomes
✅ Brand new, state-of-the-art CQC registered hospital
✅ Perfectly located in Bristol — easy reach from London & the South-West
Nature, meet refinement. 🏥✨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face — and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2–4 hours, with most patients returning to everyday life within 2–3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION ↗
#Rhinoplasty #NoseJob #RhinoplastyUK #FacialAesthetics #PlasticSurgery #NoseReshaping #CosmeticSurgery #PaulWilsonAesthetics #NorthwoodHospital #FacialSurgery #NaturalResults #SurgicalAesthetics #FacialHarmony #BristolSurgeon #Rhinoplasty2026 #BeforeAndAfter #ConfidenceRestored #AestheticSurgery #FacialRefinement #CosmeticSurgeonUK
Precision in motion. 🦴✨
Meet Paul Wilson — one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture — the kind of knowledge that comes from a background in dentistry — allows for implant placement that’s tailored, precise, and harmonious with each patient’s natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. 💙
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Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
📞 Call us today to book your private consultation
💬 Or send us a DM — we’re happy to answer your questions
🔗 Tap the link in our bio to learn more and enquire
VASER 3D Liposuction @northwood_hospital goes beyond fat removal — it’s full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
✔️ 3D high-definition contouring
✔️ Sculpting that follows your natural lines
✔️ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
📍 Northwood Hospital
📩 DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
⭐Patient Testimony⭐ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A neck lift is designed to address laxity beneath the chin and along the jawline.
Some patients are less concerned with their face itself, and more with the way their neck has changed over time. Loss of definition, heavier tissue, or loose skin in this area can affect overall facial balance.
A neck lift focuses on restoring a more defined contour through careful surgical planning, with the aim of achieving a result that looks natural for the individual.
As with any procedure, suitability depends on anatomy, skin quality, and the changes being treated.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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